KANSAS CITY CARE CLINIC NPI 1215273388

NPI Information

NPI: 1215273388
Provider Name: KANSAS CITY CARE CLINIC

Doing Business As: KC CARE HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3515 BROADWAY BLVD
KANSAS CITY, MO
ZIP 64111
Phone: (816) 753-5144
Get Directions

KANSAS CITY CARE CLINIC is a federally qualified health center (fqhc) clinic center in Kansas City, MO. KANSAS CITY CARE CLINIC NPI is 1215273388. The provider is registered as an organization entity type.
The provider Is Doing Business As Kc Care Health Center.

The provider's business location address is:

3515 BROADWAY BLVD
KANSAS CITY, MO
ZIP 64111
Phone: (816) 753-5144

The provider's authorized official is Thomas Wilson Franklin .
The authorized official title is President And Ceo and has the following contact phone number (816) 777-2763.

The CLIA number assigned to this NPI record is 26D0968489 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/18/2012 and was last updated on 6/23/2023.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	500029243	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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