Provider Demographics
NPI:1265863823
Name:THE URGENCY ROOM LLC
Entity Type:Organization
Organization Name:THE URGENCY ROOM LLC
Other - Org Name:THE URGENCY ROOM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:913-754-5005
Mailing Address - Street 1:7450 FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66203-4670
Mailing Address - Country:US
Mailing Address - Phone:913-754-5005
Mailing Address - Fax:913-754-5006
Practice Address - Street 1:7450 FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66203-4670
Practice Address - Country:US
Practice Address - Phone:913-754-5005
Practice Address - Fax:913-754-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care