Organization
SAMUEL U. RODGERS HEALTH CENTER, INC.
Active
Other names
Samuel U. Rodgers Health Center Northland Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
HILDA FUENTES MPA (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(816) 889-4600
Entity
Organization
Contact information
Practice address
5330 N OAK TRFY STE 104, KANSAS CITY, MO 64118-4600
(816) 889-1950
(816) 499-8101
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
Enumeration date
10/17/2016
Last updated
07/21/2022
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