Provider Demographics
NPI:1588956650
Name:THE URGENCY ROOM, LLC
Entity type:Organization
Organization Name:THE URGENCY ROOM, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER & URGENT CARE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-415-2828
Mailing Address - Street 1:10015 N AMBASSADOR DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64153-1437
Mailing Address - Country:US
Mailing Address - Phone:816-595-4000
Mailing Address - Fax:816-595-4001
Practice Address - Street 1:1860 N CHURCH RD
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068-7179
Practice Address - Country:US
Practice Address - Phone:816-415-2828
Practice Address - Fax:816-883-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-09
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care