Organization
HEALTH IMPACT PARTNERS
Active
Other names
Mid-America Mothers' Milk Bank
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN DAM RD (MANAGER)
(816) 867-0867
Entity
Organization
Contact information
Practice address
201 N FOREST AVE, INDEPENDENCE, MO 64050-2696
(816) 867-0867
Mailing address
312 SW GREENWICH DR # 174, LEES SUMMIT, MO 64082-4408
(816) 867-0867
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251K00000X
Public Health or Welfare Agency
—
—
335G00000X
Medical Foods Supplier
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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