Organization
KANSAS CITY CARE CLINIC
Active
Parent organization
KANSAS CITY CARE CLINIC
Other names
KC CARE Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KANSAS CITY CARE CLINIC
Authorized official
MR. THOMAS WILSON FRANKLIN (PRESIDENT AND CEO)
(816) 777-2763
Entity
Organization
Contact information
Practice address
4601 INDEPENDENCE AVE, KANSAS CITY, MO 64124
(816) 753-5144
(816) 753-0804
Mailing address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 753-5144
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500005358
—
MO
Enumeration date
03/13/2017
Last updated
11/25/2020
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