| Good Morning Health Corp | |
|
2505 E 39th St Kansas City MO 64128-2440 | |
| (816) 977-5341 | |
| Not Available |
| Full Name | Good Morning Health Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 2505 E 39th St, Kansas City, Missouri |
| Authorized Official Name and Position | Tamika Clark (DIRECTOR) |
| Authorized Official Contact | 8169775341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Morning Health Corp 4140 Flora Ave Kansas City MO 64110-1332 Ph: (816) 977-5341 | Good Morning Health Corp 2505 E 39th St Kansas City MO 64128-2440 Ph: (816) 977-5341 |
| NPI Number | 1669183075 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 0749648509 |
|---|---|
| Medicare Enrollment ID | O20230627000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669183075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| Provider Name | Tamika M Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730623141 PECOS PAC ID: 9931480241 Enrollment ID: I20170209000188 |
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