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Organization

SAMUEL U. RODGERS HEALTH CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT THEIS (COO)
(816) 474-4920
Entity
Organization

Contact information

Practice address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
(816) 889-1828
Mailing address
PO BOX 19214, BELFAST, ME 04915-4087
(816) 474-4920
(816) 889-1828

Taxonomy

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

Other

Enumeration date
03/13/2020
Last updated
05/12/2020
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