KANSAS CITY COMMUNITY CENTER (NPI# 1881838134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881838134 |
| Entity Type | Organization |
| Organization Name | KANSAS CITY COMMUNITY CENTER |
| Practice Address |
1534 Campbell St Kansas City MO 64108-1520 |
| Mailing Address |
1730 Prospect Ave Kansas City MO 64127-2544 |
| Practice Telephone | 8158421805 |
| Practice Fax Number | 8162149579 |
| Mailing Telephone | 8164216670 |
| Mailing Fax Number | 8164214701 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2011-10-13 |
| Authorized Official Name | MS. MYRNA TRICKEY (CEO/PRESIDENT) |
| Authorized Official Telephone | 8164216670 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 866471501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043536626 | Kansas City Community Center | Clinic/Center | 622 Benton Blvd, Kansas City, MO 64124-2559 | 2010-04-08 |
| 1871826008 | Kansas City Community Center | Clinic/Center | 644 S Scenic Ave, Springfield, MO 65802-5072 | 2009-09-04 |
| Street Address |
1534 CAMPBELL ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730260290 | Randell Wilson | Social Worker | 1534 Campbell St, Kansas City, MO 64108-1520 | 2006-10-18 |
| 1053587469 | Heartland Center for Behavioral Change | Clinic/Center | 1534 Campbell St, Kansas City, MO 64108-1520 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942501143 | Swope Health Services | Clinic/Center | 3950 E 51st St, Kansas City, MO 64130-3081 | 2010-11-04 |
| 1932412186 | Comprehensive Mental Health Services, Inc/renaisance West | Clinic/Center | 5840 Swope Pkwy, Kansas City, MO 64130-4262 | 2010-07-16 |
| 1043536626 | Kansas City Community Center | Clinic/Center | 622 Benton Blvd, Kansas City, MO 64124-2559 | 2010-04-08 |
| 1952532202 | The Human Enhancement Learning Program of Servants Inc. | Clinic/Center | 400 N 6th St, Kansas City, KS 66101-3135 | 2009-08-05 |
| 1225166432 | Tri-county Mental Health Services, Inc. | Clinic/Center | 1505 Ne Parvin Rd Ste D, Kansas City, MO 64116-2381 | 2007-03-01 |
| 1891872420 | Northland Family Counseling Center, Inc. | Clinic/Center | 429 N.e. 69 Highway, Kansas City, MO 64119-3118 | 2006-11-01 |
| 1013459908 | Swope Health Services | Clinic/Center | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2016-11-09 |
| 1720438302 | Truman Medical Center, Incorporated | Clinic/Center | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2016-06-15 |
| 1598110116 | Tri-county Mental Health Services, Inc. | Clinic/Center | 3100 Ne 83rd St, Suite 1001, Kansas City, MO 64119-4400 | 2016-05-02 |
| 1023462058 | Heartland Center for Behavioral Change | Clinic/Center | 1730 Prospect Ave, Kansas City, MO 64127-2544 | 2016-04-15 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
Please comment or provide details below to improve the information on KANSAS CITY COMMUNITY CENTER.
| 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.