| Swope Health Services | |
|
2908 Nw Vivion Rd Ste 100 Riverside MO 64150-1504 | |
| (816) 627-2050 | |
| Not Available |
| Full Name | Swope Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2908 Nw Vivion Rd Ste 100, Riverside, Missouri |
| 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 2908 Nw Vivion Rd Ste 100 Riverside MO 64150-1504 Ph: (816) 627-2050 |
| NPI Number | 1568557205 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 5294644530 |
|---|---|
| Medicare Enrollment ID | O20061102000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568557205 | NPI | - | NPPES |
| 5088530904 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
Functional Pharmd Consulting Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2101 Nw Platte Rd, Riverside, MO 64150 Phone: 816-569-2815 | |
Serc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Nw Platte Valley Dr, Riverside, MO 64150 Phone: 816-505-3422 Fax: 816-505-3312 |