| Swope Health Services | |
|
21 N 12th St Suite 400 Kansas City KS 66102-5161 | |
| (816) 922-7600 | |
| Not Available |
| Full Name | Swope Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 N 12th St, Kansas City, Kansas |
| Authorized Official Name and Position | Essence Montgomery (CFO) |
| Authorized Official Contact | 8165995683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swope Health Services 3801 Dr Martin Luther King Jr Blvd Kansas City MO 64130-2807 Ph: (816) 923-5800 | Swope Health Services 21 N 12th St Suite 400 Kansas City KS 66102-5161 Ph: (816) 922-7600 |
| NPI Number | 1861587511 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 5294644530 |
|---|---|
| Medicare Enrollment ID | O20050928001573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861587511 | NPI | - | NPPES |
| 100326110A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Khiara C Drew |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326407420 PECOS PAC ID: 7911279567 Enrollment ID: I20201019001532 |
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