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Organization
SAMUEL U. RODGERS HEALTH CENTER, INC
Active
Organization
SAMUEL U. RODGERS HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THEIS (ACTING CEO)
(816) 474-4920
Entity
Organization
Contact information
Practice address
2701 E 31ST ST, KANSAS CITY, MO 64128
(816) 861-7070
(816) 474-4914
Mailing address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
(816) 474-4914
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
860859107
—
MO
05
—
866201304
—
MO
Enumeration date
04/03/2007
Last updated
06/07/2018
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