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NPI Code Detail

MEDICARE: HEART OF AMERICA INDIAN CENTER

MEDICARE: HEART OF AMERICA INDIAN CENTER
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3261QM0850XAdult Mental Health Clinic/Center
4101YA0400XAddiction (Substance Use Disorder) Counselor
5104100000XSocial Worker
6261QM0855XAdolescent and Children Mental Health Clinic/Center
7163WC1500XCommunity Health Registered Nurse

General Provider Information

NPI Number : 1750857827
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART OF AMERICA INDIAN CENTER
Provider Business Mailing Address
First Line : 600 W 39TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2910
Country : US
Telephone Number : 816-421-7608
Fax Number : 816-421-6493
Provider Business Practice Location Address
First Line : 600 W 39TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2910
Country : US
Telephone Number : 816-421-7608
Fax Number : 816-421-6493
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : GAYLENE CROUSER
Credential :
Telephone Number : 816-421-7608
Provider Enumeration Date : 10/16/2018
Last Update Date : 10/09/2025

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Directions to “HEART OF AMERICA INDIAN CENTER ” Practice Location

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