KANSAS CITY CARE CLINIC (NPI# 1215273388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215273388 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY CARE CLINIC |
| Other Organization Name | KC CARE HEALTH CENTER |
| Practice Address |
3515 Broadway Blvd Kansas City MO 64111 |
| Mailing Address |
3515 Broadway Blvd Kansas City MO 64111-2501 |
| Practice Telephone | 8167535144 |
| Mailing Telephone | 8167535144 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | MR. THOMAS WILSON FRANKLIN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 8167772763 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500029243 | 05 |
| Other Name | Type Code |
|---|---|
| KC CARE Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271431 | Kansas City Care Clinic | Clinic/Center | 1106 E 30th St Ste B, Kansas City, MO 64109-1507 | 2019-05-21 |
| 1952649444 | Kansas City Care Clinic | Clinic/Center | 3515 Broadway Street, Kansas City, MO 64111 | 2013-01-18 |
| 1770024663 | Kansas City Care Clinic | Clinic/Center | 4601 Independence Ave, Kansas City, MO 64124 | 2017-03-13 |
| 1376905216 | Kansas City Care Clinic | Pharmacy | 3515 Broadway Blvd, Kansas City, MO 64111-2537 | 2016-03-21 |
| 1396101317 | Kansas City Care Clinic | Clinic/Center | 2340 E Meyer Blvd Ste 200, Kansas City, MO 64132-1121 | 2016-01-06 |
| Street Address |
3515 BROADWAY BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073537742 | Chris W Craemer | Family Medicine | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2006-07-27 |
| 1497367379 | Denita Hoard | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2020-08-20 |
| 1487281580 | Allison Jane Cushing | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2020-03-26 |
| 1528619988 | Jennifer Rebecca Taylor | Counselor | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2019-09-26 |
| 1952956252 | Jacquelyn Bradley | Pharmacist | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2019-08-05 |
| 1699236901 | Emma Ann Windham | Physician Assistant | 3515 Broadway Blvd, Kansas City, MO 64111 | 2019-03-28 |
| 1053876292 | Sarah Elizabeth Cirese-payton | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2019-02-01 |
| 1588157986 | Whitney Elaine Wilson | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2018-06-11 |
| 1912423658 | Jennifer Nichole Cooper Nobo | Social Worker | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2017-08-15 |
| 1346775202 | Heather Buehrer | Pharmacist | 3515 Broadway Blvd, Kansas City, MO 64111-2501 | 2017-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271431 | Kansas City Care Clinic | Clinic/Center | 1106 E 30th St Ste B, Kansas City, MO 64109-1507 | 2019-05-21 |
| 1235794710 | Turner House Clinic Inc | Clinic/Center | 2501 Minnesota Ave, Kansas City, KS 66102-4021 | 2019-05-09 |
| 1730669664 | Turner House Clinic Inc | Clinic/Center | 2123 Ruby Ave, Kansas City, KS 66106 | 2018-08-20 |
| 1528559689 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 4531 Ne 44th Ter, Kansas City, MO 64117 | 2018-05-24 |
| 1275024333 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 4700 Ne Parvin Rd, Kansas City, MO 64117 | 2018-05-24 |
| 1194216259 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 3701 N Jackson Ave, Kansas City, MO 64117 | 2018-05-24 |
| 1386195113 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 5330 N Oak Trfy Ste 104, Kansas City, MO 64118-4600 | 2016-10-17 |
| 1396045423 | Swope Health Services | Clinic/Center | 8825 Troost, Kansas City, MO 64131-4731 | 2010-10-22 |
| 1114236189 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 6400 E 23rd St, Kansas City, MO 64129 | 2010-09-24 |
| 1285878793 | Hope Family Care Center,llc | Clinic/Center | 3027 Prospect Ave, Kansas City, MO 64128-1530 | 2009-04-28 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on KANSAS CITY CARE CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.