MEDICARE: COMMUNITY HEALTH AND IMMUNIZATION SERVICES, 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
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1710523295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTH AND IMMUNIZATION SERVICES, LLC

Provider Business Mailing Address
First Line	:	668 N 44TH ST STE 100W
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-6507
Country	:	US
Telephone Number	:	877-358-8848
Fax Number	:	877-440-1795

Provider Business Practice Location Address
First Line	:	5330 N OAK TRFY STE 105
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64118-4600
Country	:	US
Telephone Number	:	877-358-8648
Fax Number	:	877-440-1795

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	MR. PAUL FISHBURN
Credential	:	COO
Telephone Number	:	480-646-9099

Provider Enumeration Date	:	11/20/2019
Last Update Date	:	05/12/2021

Similar Medicare Providers

1396748315 — DR. GREGORY B BARBER MD
Practice Location Address:

5330 N OAK TRFY , STE 102
KANSAS CITY, MO
64118-4600

Practice Phone: 816-478-4887
Practice Fax: 816-478-7222

1811013576 — JOSEPH BRANT SCHNEIDER DO
Practice Location Address:

5330 N OAK TRFY STE 201
KANSAS CITY, MO
64118-4600

Practice Phone: 816-454-0666
Practice Fax: 816-559-7118

1376806588 — DR. KELSEY LAINE ABLE DO
Practice Location Address:

5330 N OAK TRFY STE 102
KANSAS CITY, MO
64118-4600

Practice Phone: 816-478-4887
Practice Fax: 816-478-7140

1235685975 — MS. STACEY SCHULTZ MPAS, PA-C
Practice Location Address:

5330 NORTH OAK TRFWY , SUITE 201
KANSAS CITY, MO
64118-4600

Practice Phone: 816-454-0666
Practice Fax:

1386195113 — SAMUEL U. RODGERS HEALTH CENTER, INC.
Practice Location Address:

5330 N OAK TRFY STE 104
KANSAS CITY, MO
64118-4600

Practice Phone: 816-889-1950
Practice Fax: 816-499-8101

1194211144 — NICHOLAS MAXWELL PA-C
Practice Location Address:

5330 N OAK TRFY STE 201
KANSAS CITY, MO
64118-4600

Practice Phone: 816-454-0666
Practice Fax: 816-559-7118

Directions to “COMMUNITY HEALTH AND IMMUNIZATION SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.