Organization
SAMUEL U. RODGERS HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB THEIS (CHIEF EXECUTIVE OFFICER)
(816) 889-4802
Entity
Organization
Contact information
Practice address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
Mailing address
825 EUCLID AVE, 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
07/03/2024
Last updated
07/03/2024
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