Organization
SAMUEL U. RODGERS HEALTH CENTER, INC
Active
Other names
Samuel U. Rodgers Health Center Winnwood Elementary
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THEIS (CEO ACTING)
(816) 474-4920
Entity
Organization
Contact information
Practice address
4531 NE 44TH TER, KANSAS CITY, MO 64117
(816) 321-5223
Mailing address
825 EUCLID AVE # Q112764, KANSAS CITY, MO 64124-2323
(816) 474-4920
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
06/07/2018
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