| Kc Care Health Center | |
|
4601 Independence Ave Kansas City MO 64124 | |
| (816) 753-5144 | |
| (816) 753-0804 |
| Full Name | Kc Care Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4601 Independence Ave, Kansas City, Missouri |
| Authorized Official Name and Position | Thomas Wilson Franklin (PRESIDENT AND CEO) |
| Authorized Official Contact | 8167772763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kc Care Health Center 3515 Broadway Blvd Kansas City MO 64111-2501 Ph: (816) 753-5144 | Kc Care Health Center 4601 Independence Ave Kansas City MO 64124 Ph: (816) 753-5144 |
| NPI Number | 1770024663 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 11/25/2020 |
| Medicare PECOS PAC ID | 9335386168 |
|---|---|
| Medicare Enrollment ID | O20170908002101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770024663 | NPI | - | NPPES |
| 500005358 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
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