Kc Care Health | |
2340 E Meyer Blvd Ste 208 Kansas City MO 64132-1121 | |
(816) 753-5144 | |
(855) 737-0585 |
Full Name | Kc Care Health |
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Speciality | Clinic/Center |
Location | 2340 E Meyer Blvd Ste 208, Kansas City, Missouri |
Authorized Official Name and Position | Debbie Skaggs (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 8167772761 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kc Care Health 3515 Broadway Blvd Kansas City MO 64111-2501 Ph: (816) 753-5144 | Kc Care Health 2340 E Meyer Blvd Ste 208 Kansas City MO 64132-1121 Ph: (816) 753-5144 |
NPI Number | 1396101317 |
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Provider Enumeration Date | 01/06/2016 |
Last Update Date | 09/21/2022 |
Medicare PECOS PAC ID | 9335386168 |
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Medicare Enrollment ID | O20160314000532 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396101317 | NPI | - | NPPES |
500029376 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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