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NPI Code Detail

MEDICARE: SWOPE HEALTH SERVICES

MEDICARE: SWOPE HEALTH SERVICES
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 : 1770907347
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWOPE HEALTH SERVICES
Provider Business Mailing Address
First Line : 3801 DR MARTIN LUTHER KING JR BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2807
Country : US
Telephone Number : 816-923-5800
Fax Number :
Provider Business Practice Location Address
First Line : 204 E NORTH AVE
Second Line :
City : BELTON
State : MO
Zip : 64012-2013
Country : US
Telephone Number : 816-932-5800
Fax Number :
Authorized Official
Title or Position : CFO
Name : ESSENCE MONTGOMERY
Credential :
Telephone Number : 816-599-5683
Provider Enumeration Date : 02/18/2014
Last Update Date : 10/29/2024

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Directions to “SWOPE HEALTH SERVICES ” Practice Location

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