Organization
SAMUEL U. RODGERS HEALTH CENTER, INC.
Active
Other names
Samuel U. Rodgers Health Center JA Rogers Family Dental, Samuel U Rodgers Health Center J A Rogers Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THEIS (ACTING CEO)
(816) 474-4920
Entity
Organization
Contact information
Practice address
6400 E 23RD ST, KANSAS CITY, MO 64129
(816) 231-5746
(816) 889-1849
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500859111
—
MO
Enumeration date
09/24/2010
Last updated
06/11/2019
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