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NPI Code Detail

MEDICARE: HOPE FAMILY CARE CENTER,LLC

MEDICARE: HOPE FAMILY CARE CENTER,LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1285878793
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE FAMILY CARE CENTER,LLC
Provider Business Mailing Address
First Line : 3027 PROSPECT AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64128-1530
Country : US
Telephone Number : 816-931-6290
Fax Number :
Provider Business Practice Location Address
First Line : 3027 PROSPECT AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64128-1530
Country : US
Telephone Number : 816-931-6290
Fax Number :
Authorized Official
Title or Position : CEO
Name : KENNETH KLINGENSMITH
Credential :
Telephone Number : 913-951-3585
Provider Enumeration Date : 04/28/2009
Last Update Date : 10/29/2020

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Directions to “HOPE FAMILY CARE CENTER,LLC ” Practice Location

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