| Samuel U. Rodgers Health Center Eastgate Middle School | |
|
4700 Ne Parvin Rd Kansas City MO 64117 | |
| (816) 321-5223 | |
| Not Available |
| Full Name | Samuel U. Rodgers Health Center Eastgate Middle School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4700 Ne Parvin Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Robert Theis (ACTING CEO) |
| Authorized Official Contact | 8164744920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel U. Rodgers Health Center Eastgate Middle School 825 Euclid Ave Kansas City MO 64124-2323 Ph: (816) 474-4920 | Samuel U. Rodgers Health Center Eastgate Middle School 4700 Ne Parvin Rd Kansas City MO 64117 Ph: (816) 321-5223 |
| NPI Number | 1275024333 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275024333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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