SAMUEL U. RODGERS HEALTH CENTER, INC. (NPI# 1114236189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114236189 |
| Entity Type | Organization |
| Organization Name | SAMUEL U. RODGERS HEALTH CENTER, INC. |
| Other Organization Name | SAMUEL U. RODGERS HEALTH CENTER JA ROGERS FAMILY DENTAL |
| Practice Address |
6400 E 23rd St Kansas City MO 64129 |
| Mailing Address |
825 Euclid Ave Kansas City MO 64124-2323 |
| Practice Telephone | 8162315746 |
| Practice Fax Number | 8168891849 |
| Mailing Telephone | 8164744920 |
| Mailing Fax Number | 8168891845 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | ROBERT THEIS (ACTING CEO) |
| Authorized Official Telephone | 8164744920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500859111 | 05 |
| Other Name | Type Code |
|---|---|
| Samuel U Rodgers Health Center J A Rogers Family Dental | Doing Business As Name - Organization |
| Samuel U. Rodgers Health Center JA Rogers Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386195113 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 5330 N Oak Trfy Ste 104, Kansas City, MO 64118-4600 | 2016-10-17 |
| 1982931655 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 800 Haines Drive, Liberty, MO 64068 | 2009-11-17 |
| 1225216211 | Samuel U. Rodgers Health Center, Inc. | Licensed Practical Nurse | 2100 E 9th St, Kansas City, MO 64124 | 2008-02-01 |
| 1164614053 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 811 S Business Highway 13 Ste A, Lexington, MO 64067 | 2007-08-14 |
| 1174037519 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 1501 Nw Jefferson St, Blue Springs, MO 64015 | 2017-11-21 |
| 1073950135 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 2121 Summit St, Kansas City, MO 64108-2126 | 2013-05-30 |
| 1578570982 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 825 Euclid Avenue, Kansas City, MO 64124 | 2006-08-01 |
| 1518902360 | Samuel U. Rodgers Health Center, Inc. | Specialist | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2006-06-17 |
| Street Address |
6400 E 23RD ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679099527 | Jade Lee Collins | Speech-Language Pathologist | 6400 E 23rd St, Kansas City, MO 64129-1103 | 2017-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114348307 | Julie Frymyer | Physical Therapist | 1 Arrowhead Dr, Kansas City, MO 64129 | 2013-12-15 |
| 1245358001 | Jacobs Well of Kansas City Ministries | Counselor | 5910 E Us Highway 40, Kansas City, MO 64129-1153 | 2007-03-27 |
| 1538291976 | Jacobs Well of Kansas City Ministries | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5921 E 31st St, Kansas City, MO 64129-1163 | 2007-03-12 |
| 1043493497 | Harmony Place,llc | Day Training, Developmentally Disabled Services | 5921 E 31st St, Kansas City, MO 64129-1163 | 2007-12-07 |
| 1083732846 | Jacobs Well of Kansas City Ministries | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5921 E 31st St, Kansas City, MO 64129-1163 | 2007-03-27 |
| 1821656026 | Alec John Nichols | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2019-06-03 |
| 1134571391 | Alec Stahly | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2016-07-12 |
| 1255701546 | Tiffany Nicole Morton | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2015-09-30 |
| 1174947287 | David Glover II | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2014-02-10 |
| 1225452519 | Nicholas Potter | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2014-02-07 |
| Find all providers in zip 64129 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271431 | Kansas City Care Clinic | Clinic/Center | 1106 E 30th St Ste B, Kansas City, MO 64109-1507 | 2019-05-21 |
| 1235794710 | Turner House Clinic Inc | Clinic/Center | 2501 Minnesota Ave, Kansas City, KS 66102-4021 | 2019-05-09 |
| 1730669664 | Turner House Clinic Inc | Clinic/Center | 2123 Ruby Ave, Kansas City, KS 66106 | 2018-08-20 |
| 1528559689 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 4531 Ne 44th Ter, Kansas City, MO 64117 | 2018-05-24 |
| 1275024333 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 4700 Ne Parvin Rd, Kansas City, MO 64117 | 2018-05-24 |
| 1194216259 | Samuel U. Rodgers Health Center, Inc | Clinic/Center | 3701 N Jackson Ave, Kansas City, MO 64117 | 2018-05-24 |
| 1386195113 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 5330 N Oak Trfy Ste 104, Kansas City, MO 64118-4600 | 2016-10-17 |
| 1396045423 | Swope Health Services | Clinic/Center | 8825 Troost, Kansas City, MO 64131-4731 | 2010-10-22 |
| 1285878793 | Hope Family Care Center,llc | Clinic/Center | 3027 Prospect Ave, Kansas City, MO 64128-1530 | 2009-04-28 |
| 1013002765 | Swope Health Services | Clinic/Center | 4835 State Ave, Kansas City, KS 66102-1747 | 2006-10-04 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64129 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.