# HEALTH IMPACT PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid-America Mothers' Milk Bank
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053197251
- **Authorized official:** KELVIN DAM RD (MANAGER)
- **Authorized official phone:** (816) 867-0867

## Contact information

- **Practice address:** 201 N FOREST AVE, INDEPENDENCE, MO 64050-2696
- **Practice address phone:** (816) 867-0867
- **Mailing address:** 312 SW GREENWICH DR \# 174, LEES SUMMIT, MO 64082-4408
- **Mailing address phone:** (816) 867-0867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 335G00000X | Medical Foods Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2023
- **Last updated:** 09/04/2023