SAMUEL U. RODGERS HEALTH CENTER NORTHLAND FAMILY MEDICINE – NPI #1386195113
Clinic/Center

SAMUEL U. RODGERS HEALTH CENTER NORTHLAND FAMILY MEDICINE is an AHC clinic located in KANSAS CITY, MO. NPPES has assigned the NPI number 1386195113 to SAMUEL U. RODGERS HEALTH CENTER NORTHLAND FAMILY MEDICINE on October 17, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SAMUEL U. RODGERS HEALTH CENTER NORTHLAND FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is SAMUEL U. RODGERS HEALTH CENTER, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL U. RODGERS HEALTH CENTER NORTHLAND FAMILY MEDICINE below.

NPI Profile for
SAMUEL U. RODGERS HEALTH CENTER, INC.

NPI Number
1386195113
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAMUEL U. RODGERS HEALTH CENTER, INC.
Doing Business As (dba): SAMUEL U. RODGERS HEALTH CENTER NORTHLAND FAMILY MEDICINE
Primary location
5330 N OAK TRFY STE 104
KANSAS CITY, MO 64118-4600
Phone: (816) 889-1950 Fax: (816) 499-8101
Mailing address
825 EUCLID AVE
KANSAS CITY, MO 64124-2323
Phone: (816) 474-4920 Fax: (816) 889-1845
Organization Subpart
No
Authorized Official
HILDA FUENTES
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone: (816) 889-4600
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 MO

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.