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SHARON LEE FAMILY HEALTH CARE INC NPI 1609030311


NPI Information

NPI: 1609030311
Provider Name: SHARON LEE FAMILY HEALTH CARE, INC

Former Legal Business Name: SOUTHWEST BOULEVARD FAMILY HEALTH CARE OF GREATER KANSAS CITY, INC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
340 SOUTHWEST BLVD
KANSAS CITY, KS
ZIP 66103
Phone: (913) 722-3100
Get Directions

SHARON LEE FAMILY HEALTH CARE, INC is a federally qualified health center (fqhc) clinic center in Kansas City, KS. SHARON LEE FAMILY HEALTH CARE, INC NPI is 1609030311. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Southwest Boulevard Family Health Care Of Greater Kansas City, Inc.

The provider's business location address is:

340 SOUTHWEST BLVD
KANSAS CITY, KS
ZIP 66103-150
Phone: (913) 722-3100
Fax: (913) 722-2542

The provider's authorized official is Lisa Harvey .
The authorized official title is Acting Ceo and has the following contact phone number (913) 722-3100.

The enumeration date for this NPI number is 7/11/2008 and was last updated on 1/24/2022.


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
1207Q00000XFamily Medicine4020303KANSASNo
2261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100205360AMEDICAIDKANSAS
2202005815MEDICAIDMISSOURI

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: 11/14/2023

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.