KANSAS CITY COMMUNITY CENTER (NPI# 1871826008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871826008 |
Entity Type | Organization |
Organization Name | KANSAS CITY COMMUNITY CENTER |
Practice Address |
644 S Scenic Ave Springfield MO 65802-5072 |
Mailing Address |
1730 Prospect Ave Kansas City MO 64127-2544 |
Practice Telephone | 4178663293 |
Practice Fax Number | 4178663294 |
Mailing Telephone | 8164216670 |
Mailing Fax Number | 8164214701 |
Enumeration Date | 2009-09-04 |
Last Update Date | 2009-09-04 |
Authorized Official Name | MR. CHARLES EUGENE MORGAN (PRESIDENT) |
Authorized Official Telephone | 8164216670 |
Authorized Official Credential | M.S. M.P.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043536626 | Kansas City Community Center | Clinic/Center | 622 Benton Blvd, Kansas City, MO 64124-2559 | 2010-04-08 |
1881838134 | Kansas City Community Center | Clinic/Center | 1534 Campbell St, Kansas City, MO 64108-1520 | 2009-04-29 |
Street Address |
644 S SCENIC AVE |
City | SPRINGFIELD |
State | MO |
Zip Code | 65802-5072 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215205208 | Karen Allison Burghout | Counselor | 644 S Scenic Ave, Springfield, MO 65802-5072 | 2011-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
Find all providers in zip 65802 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1427349208 | Gateway Foundation, Inc | Clinic/Center | 2200 Lake Victoria Drive, Main Floor West, Springfield, IL 62703-5596 | 2011-04-27 |
1447347265 | Matt Talbot House, Inc. | Clinic/Center | 809 South Limestone Street, Springfield, OH 45501 | 2006-10-05 |
1831127612 | Valley Hope Association | Clinic/Center | 1661 W Elfindale Dr, Springfield, MO 65807-1287 | 2006-06-29 |
1295356574 | E Home Behavioral LLC | Clinic/Center | 2317 E Home Rd, Springfield, OH 45503-2520 | 2020-04-28 |
1740827138 | E Home Behavioral LLC | Clinic/Center | 2317 E Home Rd, Springfield, OH 45503-2520 | 2019-12-04 |
1720640642 | Family Guidance Centers, Inc. | Clinic/Center | 2924 Stanton St, Springfield, IL 62703-4315 | 2019-07-01 |
1164954947 | Contemporary Therapeutics LLC | Clinic/Center | 4867 Urbana Rd, Springfield, OH 45502-9815 | 2017-03-30 |
1669926374 | Rocking Horse Children's Health Center | Clinic/Center | 120 W Mulberry St, Springfield, OH 45506-1666 | 2016-08-10 |
1659727584 | Burrell, Inc. | Clinic/Center | 1300 E Bradford Pkwy, Springfield, MO 65804-4264 | 2016-05-10 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65802 |
Please comment or provide details below to improve the information on KANSAS CITY COMMUNITY CENTER.
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.