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SAMUEL U. RODGERS HEALTH CENTER INC. NPI 1225216211


NPI Information

NPI: 1225216211
Provider Name: SAMUEL U. RODGERS HEALTH CENTER, INC.
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Organization
Address:
2100 E 9TH ST
KANSAS CITY, MO
ZIP 64124
Phone: (816) 474-4920
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SAMUEL U. RODGERS HEALTH CENTER, INC. is a licensed practical nurse in Kansas City, MO. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. SAMUEL U. RODGERS HEALTH CENTER, INC. NPI is 1225216211. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2100 E 9TH ST
KANSAS CITY, MO
ZIP 64124
Phone: (816) 474-4920
Fax: (816) 474-4914

The provider's authorized official is Robert Theis .
The authorized official title is Acting Ceo and has the following contact phone number (816) 889-4802.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 6/7/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical NurseMISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
126-1832OTHERMISSOURIMEDICARE A
2170859102MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.