KANSAS CITY CARE CLINIC (NPI# 1770024663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770024663 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY CARE CLINIC |
| Other Organization Name | KC CARE HEALTH CENTER |
| Practice Address |
4601 Independence Ave Kansas City MO 64124 |
| Mailing Address |
3515 Broadway Blvd Kansas City MO 64111-2501 |
| Practice Telephone | 8167535144 |
| Practice Fax Number | 8167530804 |
| Mailing Telephone | 8167535144 |
| Enumeration Date | 2017-03-13 |
| 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) |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500005358 | 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 |
| 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 |
| 1215273388 | Kansas City Care Clinic | Clinic/Center | 3515 Broadway Blvd, Kansas City, MO 64111 | 2012-12-18 |
| Street Address |
4601 INDEPENDENCE AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336103134 | Joel Maurice Feder | Family Medicine | 4601 Independence Ave, Kansas City, MO 64124 | 2006-04-17 |
| 1801067236 | Neighborhood Family Care, Inc. | Family Medicine | 4601 Independence Ave, Kansas City, MO 64124-2927 | 2008-03-13 |
| 1689856510 | Karen Elaine Leuenberger | Physician Assistant | 4601 Independence Ave, Kansas City, MO 64124 | 2007-12-03 |
| 1326129891 | Elaine Welsh Joslyn | Family Medicine | 4601 Independence Ave, Kansas City, MO 64124-2927 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982191474 | Marcia Jean Mason | Speech-Language Pathologist | 345 N. Elmwood, Kansas City, MO 64124 | 2018-04-19 |
| 1215249933 | Scuola Vita Nuova Charter School | Local Education Agency (LEA) | 544 Wabash Avenue, Kansas City, MO 64124 | 2010-07-10 |
| 1891937553 | Center for Developmentally Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 855 Brooklyn, Kansas City, MO 64124 | 2009-03-27 |
| 1700059276 | Veronica Rodriguez | Home Health Aide | 303 S Cypress, Kansas City, MO 64124 | 2008-04-07 |
| 1225216211 | Samuel U. Rodgers Health Center, Inc. | Licensed Practical Nurse | 2100 E 9th St, Kansas City, MO 64124 | 2008-02-01 |
| 1780997361 | Susan D. Putnam | Speech-Language Pathologist | 544 Wabash Avenue, Kansas City, MO 64124 | 2010-07-23 |
| 1912135450 | Catricia R Tilford | Pediatrics | 825 Euclid Ave, Kansas City, MO 64124 | 2009-06-23 |
| 1356577829 | Lauren Elizabeth Andreas | Dentist | 825 Euclid Ave, Mc 0242, Kansas City, MO 64124 | 2009-06-10 |
| 1497927305 | Toni Shante Zink | Family Medicine | 825 Euclid Ave, Kansas City, MO 64124 | 2008-03-31 |
| 1265649388 | Samuel U. Rodgers Health Center | Pharmacy | 825 Euclid Ave, Kansas City, MO 64124 | 2007-05-17 |
| Find all providers in zip 64124 | ||||
| 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 | 64124 |
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.