SAMUEL U. RODGERS HEALTH CENTER, INC (NPI# 1528559689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528559689 |
| Entity Type | Organization |
| Organization Name | SAMUEL U. RODGERS HEALTH CENTER, INC |
| Other Organization Name | SAMUEL U. RODGERS HEALTH CENTER WINNWOOD ELEMENTARY |
| Practice Address |
4531 Ne 44th Ter Kansas City MO 64117 |
| Mailing Address |
825 Euclid Ave # Q112764 Kansas City MO 64124-2323 |
| Practice Telephone | 8163215223 |
| Mailing Telephone | 8164744920 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | ROBERT THEIS (CEO ACTING) |
| Authorized Official Telephone | 8164744920 |
| 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 |
| Other Name | Type Code |
|---|---|
| Samuel U. Rodgers Health Center Winnwood Elementary | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1982002549 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2309 Aull Ln, Lexington, MO 64067 | 2014-12-15 |
| 1003937020 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 2701 E 31st St, Kansas City, MO 64128 | 2007-04-03 |
| 1326674144 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2020-03-13 |
| Street Address |
4531 NE 44TH TER |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1144541608 | Lisa Mullins | Occupational Therapist | 827 North Denver, Kansas City, MO 64117 | 2010-06-18 |
| 1508010604 | Angela M Gregory | Social Worker | 4737 N Cleveland Avenue, Kansas City, MO 64117 | 2008-11-17 |
| 1427268432 | Jesse Joseph Sieve | Marriage & Family Therapist | 2901 Rock Creek Pkwy, Kansas City, MO 64117 | 2007-05-22 |
| 1083629612 | Center Pharmacy Inc | Pharmacy | 4357 Ne Chouteau Tfwy, Kansas City, MO 64117 | 2006-07-30 |
| 1902393622 | Jessica Mcilhenney | Specialist/Technologist | 3716 Ne 46th Ter, Kansas City, MO 64117-1248 | 2018-04-18 |
| 1053829143 | Ericka Omonkhoa | Home Health Aide | 7234 Ne 47th St, Kansas City, MO 64117-1458 | 2018-01-11 |
| 1164547535 | Life Unlimited, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5884 Ne Russell Rd, Kansas City, MO 64117-1500 | 2007-03-21 |
| 1588209662 | Kc Home Health Care LLC | Home Health | 6450 Ne 43rd Ter Apt 202, Kansas City, MO 64117-1561 | 2019-11-12 |
| Find all providers in zip 64117 | ||||
| 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 |
| 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 |
| 1013002765 | Swope Health Services | Clinic/Center | 4835 State Ave, Kansas City, KS 66102-1747 | 2006-10-04 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64117 |
Please comment or provide details below to improve the information on SAMUEL U. RODGERS HEALTH CENTER, INC.
| 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.