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CABOT WESTSIDE HEALTH CENTER NPI 1104879055


NPI Information

NPI: 1104879055
Provider Name: CABOT WESTSIDE HEALTH CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2121 SUMMIT ST
KANSAS CITY, MO
ZIP 64108
Phone: (816) 471-0900
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CABOT WESTSIDE HEALTH CENTER is a family medicine in Kansas City, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CABOT WESTSIDE HEALTH CENTER NPI is 1104879055. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2121 SUMMIT ST
KANSAS CITY, MO
ZIP 64108-126
Phone: (816) 471-0900
Fax: (816) 471-3150

The provider's authorized official is Melissa Abernathy .
The authorized official title is Director Of Finance and has the following contact phone number (816) 932-7941.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 3/31/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeNo
2207V00000XObstetrics & GynecologyNo
3208000000XPediatricsNo
4207Q00000XFamily MedicineYes

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
1501150403MEDICAIDMISSOURI
2D190000MEDICARE ID-TYPE UNSPECIFIEDMISSOURIGROUP #

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

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