BLAQOUT INC. NPI 1750072849

NPI Information

  • NPI: 1750072849
  • Provider Name: BLAQOUT, INC.
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • CLIA Number: 26D2240659
  • Address: 517 CAMPBELL ST
    KANSAS CITY, MO
    ZIP 64106
  • Phone: (816) 866-0355

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NPI Details

BLAQOUT, INC. is a community health clinic center in Kansas City, MO. BLAQOUT, INC. NPI is 1750072849. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

517 CAMPBELL ST
KANSAS CITY, MO
ZIP 64106-213
Phone: (816) 866-0355

The provider's authorized official is D. Rashaan Gilmore .
The authorized official title is Founder/ceo and has the following contact phone number (816) 866-0355.

The CLIA number assigned to this NPI record is 26D2240659 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2023 and was last updated on 5/18/2023.

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
1207QA0505XFamily MedicineAdult MedicineNo
2261Q00000XClinic/CenterNo
3261QP2300XClinic/CenterPrimary CareNo
4261QC1500XClinic/CenterCommunity HealthYes

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: 11/21/2025

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