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Contact Information

SAMUEL U. RODGERS HEALTH CENTER, INC.
2100 E 9TH ST
KANSAS CITY, MO64124
 Phone: 816-474-4920
 Fax: 816-474-4914
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for SAMUEL U. RODGERS HEALTH CENTER, INC.

NPI # 1225216211
LBN Legal business name SAMUEL U. RODGERS HEALTH CENTER, INC.
Authorized official ROBERT THEIS - (ACTING CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/01/2008
Last updated 06/07/2018 - About 8 years ago
Identifiers
MO Medicaid 170859102
MO Other 26-1832 MEDICARE A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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