# CABOT WESTSIDE HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104879055
- **Authorized official:** MELISSA ABERNATHY (DIRECTOR OF FINANCE)
- **Authorized official phone:** (816) 932-7941

## Contact information

- **Practice address:** 2121 SUMMIT ST, KANSAS CITY, MO 64108-2126
- **Practice address phone:** (816) 471-0900
- **Practice address fax:** (816) 471-3150
- **Mailing address:** PO BOX 504939, SAINT LOUIS, MO 63150-0001
- **Mailing address phone:** (816) 932-7940
- **Mailing address fax:** (816) 932-7957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 03/31/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 501150403 | — | MO |