# KANSAS CITY CARE CLINIC

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

## Provider details

- **NPI number:** 1952649444
- **Authorized official:** MS. MIRIAM MAIDEN (HUMAN RESOURCES AND COMPLIANCE MANA)
- **Authorized official phone:** (816) 777-2771

## Contact information

- **Practice address:** 3515 BROADWAY STREET, KANSAS CITY, MO 64111
- **Practice address phone:** (816) 777-2771
- **Mailing address:** 3515 BROADWAY ST, KANSAS CITY, MO 64111-2537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 8 | MO | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 07/21/2022