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Organization

SAMUEL U. RODGERS HEALTH CENTER, INC.

Active
Other names
Samuel U. Rodgers Health Center Blue Springs School District
Organization subpart
No

Provider details

NPI number
Authorized official
MONIQUE PROCTOR (CREDENTIALING COORDINATOR)
(816) 889-1928
Entity
Organization

Contact information

Practice address
1501 NW JEFFERSON ST, BLUE SPRINGS, MO 64015
(816) 224-1740
Mailing address
1501 NW JEFFERSON ST, BLUE SPRINGS, MO 64015-7242
(816) 224-1740

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
MO

Other

Enumeration date
11/21/2017
Last updated
06/11/2019
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