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
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013002765
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	:	4835 STATE AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-1747
Country	:	US
Telephone Number	:	913-321-2200
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	ESSENCE MONTGOMERY
Credential	:
Telephone Number	:	816-599-5683

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	10/29/2024

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Directions to “SWOPE HEALTH SERVICES ” Practice Location

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