PROVIDENCE URGENT CARE CENTER (NPI# 1043237894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043237894 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE URGENT CARE CENTER |
| Practice Address |
22334 W 66th St Spc 10 Shawnee KS 66226-3560 |
| Mailing Address |
8929 Parallel Pkwy Kansas City KS 66112-1689 |
| Practice Telephone | 9138250909 |
| Practice Fax Number | 9138250905 |
| Mailing Telephone | 9135964000 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JUANITA D ROY (VP FINANCE) |
| Authorized Official Telephone | 913-596-4000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD GR | 36051011 | 01 |
| Street Address |
22334 W 66TH ST SPC 10 |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66226-3560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487672382 | Emily A Venteicher | Emergency Medicine | 22334 W 66th St Spc 10, Shawnee, KS 66226-3560 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598792 | Kaitlyn Nicole Jackman | Specialist/Technologist | 6320 Anderson St, Shawnee, KS 66226 | 2018-11-27 |
| 1912436379 | Alexandra Snyder | Behavioral Analyst | 23714 W. 54th Terr., Shawnee, KS 66226 | 2017-06-08 |
| 1992179741 | Melanie Miller | Nurse Practitioner | 5211 Woodsonia Dr, Shawnee, KS 66226 | 2015-11-17 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1093974529 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 22700 W 55th Terrace, Shawnee, KS 66226 | 2008-06-09 |
| 1194811620 | William Schmidt | Physician Assistant | 6850 Hilltop Road, Suite 170, Shawnee, KS 66226 | 2006-10-04 |
| 1205280450 | Emily Meyer | Dentist | 6810 Silverheel St, Shawnee, KS 66226 | 2016-04-13 |
| 1013352384 | Honeyman Investments LLC | Eyewear Supplier (Equipment, not the service) | 5433 Roberts Street, Shawnee, KS 66226 | 2013-05-01 |
| 1457429524 | Steven D Rettinger | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| Find all providers in zip 66226 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699921205 | Palmeri Urgent Care LLC | Clinic/Center | 11338 W 63rd St, Upper Northern Suite, Shawnee, KS 66203-3336 | 2008-08-14 |
| 1952581167 | Physician Now, LLC | Clinic/Center | 22334 W 66th St, Shawnee, KS 66226-3560 | 2007-11-06 |
| 1982652525 | Jayhawk Primary Care Inc | Clinic/Center | 7405 Renner Rd, Ku Medwest Urgent Care, Shawnee, KS 66217-9414 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632997 | Pratt Regional Medical Center Corporation | Clinic/Center | 1600 E 1st St, Pratt, KS 67124-2070 | 2020-08-31 |
| 1245876184 | Immediate Medical Care, P.a. | Clinic/Center | 3560 N Maize Rd Ste 106, Wichita, KS 67205-7393 | 2019-11-26 |
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1588156574 | Susan B. Allen Memorial Hospital | Clinic/Center | 2710 W Central Ave, El Dorado, KS 67042-3285 | 2018-06-05 |
| 1255883682 | Kansas Carenow Urgent Care LLC | Clinic/Center | 3500 W 95th St, Leawood, KS 66206-2031 | 2016-11-02 |
| 1306259387 | Lansing Urgent Care and Occupational Health | Clinic/Center | 844 N Main St, Lansing, KS 66043-1305 | 2014-06-06 |
| 1619395845 | Immediate Medical Care, P.a. | Clinic/Center | 5838 E Central Ave, Wichita, KS 67208-4203 | 2014-04-04 |
| 1265863823 | The Urgency Room LLC | Clinic/Center | 7450 Frontage Rd, Merriam, KS 66203-4670 | 2013-12-09 |
| 1922306729 | Newman Memorial County Hospital | Clinic/Center | 1301 W 12th Ave Ste 110, Emporia, KS 66801-2587 | 2011-03-03 |
| 1639351513 | American Current Care Pa | Clinic/Center | 4214 Kansas Avenue, Kansas City, KS 66106-1119 | 2007-12-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.