| Samuel U. Rodgers Health Center, Inc | |
|
825 Euclid Ave Kansas City MO 64124-2323 | |
| (816) 474-4920 | |
| (816) 889-1828 |
| Full Name | Samuel U. Rodgers Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 825 Euclid Ave, Kansas City, Missouri |
| Authorized Official Name and Position | Robert Theis (COO) |
| Authorized Official Contact | 8164744920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel U. Rodgers Health Center, Inc Po Box 19214 Belfast ME 04915-4087 Ph: (816) 474-4920 | Samuel U. Rodgers Health Center, Inc 825 Euclid Ave Kansas City MO 64124-2323 Ph: (816) 474-4920 |
| NPI Number | 1326674144 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 05/12/2020 |
| Medicare PECOS PAC ID | 9739092826 |
|---|---|
| Medicare Enrollment ID | O20220420002305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326674144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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