Organization
SAMUEL U. RODGERS HEALTH CENTER, INC.
Active
Other names
Samuel U. Rodgers Health Center Cabot Westside, Samuel U. Rodgers Health Center Cabot Westside Medical and Dental
Organization subpart
No
Provider details
NPI number
Authorized official
HILDA FUENTES MPA (CHIEF EXECUTIVE OFFICER)
(816) 889-4600
Entity
Organization
Contact information
Practice address
2121 SUMMIT ST, KANSAS CITY, MO 64108-2126
(816) 471-0900
(816) 471-3150
Mailing address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
(816) 889-1845
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073950135
—
MO
Enumeration date
05/30/2013
Last updated
07/21/2022
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