MEDICARE: MERCY & TRUTH HEALTHCARE MINISTRY, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	363LP0200X	Pediatric Nurse Practitioner
3	207Q00000X	Family Medicine Physician
4	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609879063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY & TRUTH HEALTHCARE MINISTRY, INC

Provider Business Mailing Address
First Line	:	721 N 31ST ST STE 101
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-3972
Country	:	US
Telephone Number	:	913-621-0074
Fax Number	:	877-223-0571

Provider Business Practice Location Address
First Line	:	721 N 31ST ST STE 101
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-3972
Country	:	US
Telephone Number	:	913-621-0074
Fax Number	:	913-621-1996

Authorized Official
Title or Position	:	CEO
Name	:	BRENT MORRIS
Credential	:
Telephone Number	:	913-621-0074

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	02/20/2025

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