Samuel U. Rodgers Health Center, Inc.

LBN: Samuel U. Rodgers Health Center, Inc.
Samuel U. Rodgers Health Center, Inc. is an health care organization with primary practice located at 825 Euclid Avenue , Kansas City MO 64124. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Samuel U. Rodgers Health Center, Inc. can be contacted via phone (816) 474-4920, or through Theis, Robert via phone (816) 474-4920.

Contact Information

Primary practice address
825 Euclid Avenue Kansas City MO 64124
Phone: (816) 474-4920
Fax: (816) 889-1845
Website:
Map and Directions
Authorized official contact:
Name: Theis, Robert CPA, BA, MA
Phone: (816) 474-4920

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X H80CS00784 Missouri

Profile Details

NPI number 1578570982
LBN Legal business name Samuel U. Rodgers Health Center, Inc.
DBA Doing business as
Authorized official Theis, Robert CPA, BA, MA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Jun 11th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578570982 NPPES
Missouri MEDICAID 500859111

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