Organization
SWOPE HEALTH SERVICES
Active
Other names
Model Cities Health Corporation of Kansas City
Organization subpart
No
Provider details
NPI number
Authorized official
ESSENCE MONTGOMERY (CFO)
(816) 599-5683
Entity
Organization
Contact information
Practice address
2908 NW VIVION RD STE 100, RIVERSIDE, MO 64150-1504
(816) 627-2050
Mailing address
3801 DR MARTIN LUTHER KING JR BLVD, KANSAS CITY, MO 64130-2807
(816) 923-5800
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5088530904
—
MO
Enumeration date
10/04/2006
Last updated
10/29/2024
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