KANSAS CITY COMMUNITY CENTER NPI 1043536626

NPI Information

NPI: 1043536626
Provider Name: KANSAS CITY COMMUNITY CENTER
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
622 BENTON BLVD
KANSAS CITY, MO
ZIP 64124
Phone: (816) 421-6670
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KANSAS CITY COMMUNITY CENTER is a rehabilitation and substance use disorder clinic center in Kansas City, MO. KANSAS CITY COMMUNITY CENTER NPI is 1043536626. The provider is registered as an organization entity type.

The provider's business location address is:

622 BENTON BLVD
KANSAS CITY, MO
ZIP 64124-559
Phone: (816) 421-6670
Fax: (816) 842-1835

The provider's authorized official is Charles Eugene Morgan .
The authorized official title is President and has the following contact phone number (816) 421-6670.

The enumeration date for this NPI number is 4/8/2010 and was last updated on 4/8/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1053587469	MEDICAID	MISSOURI

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

NPI Synchronization or Removal

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