KC CARE HEALTH CENTER – NPI #1770024663
Clinic/Center

KC CARE HEALTH CENTER is an AHC clinic located in KANSAS CITY, MO. NPPES has assigned the NPI number 1770024663 to KC CARE HEALTH CENTER on March 13, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KC CARE HEALTH CENTER” is a dba name, the actual legal business name for this organization is KANSAS CITY CARE CLINIC. 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 6 years ago on Nov 25, 2020. 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 KC CARE HEALTH CENTER below.

NPI Profile for
KANSAS CITY CARE CLINIC

NPI Number
1770024663
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
KANSAS CITY CARE CLINIC
Doing Business As (dba): KC CARE HEALTH CENTER
Primary location
4601 INDEPENDENCE AVE
KANSAS CITY, MO 64124
Phone: (816) 753-5144 Fax: (816) 753-0804
Mailing address
3515 BROADWAY BLVD
KANSAS CITY, MO 64111-2501
Phone: (816) 753-5144 Fax:
Organization Subpart
Yes - KC CARE HEALTH CENTER is subpart of another organization.
Authorized Official
THOMAS FRANKLIN
PRESIDENT AND CEO
Phone: (816) 777-2763
Updated
Certification Date
Nov 25, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KC CARE HEALTH CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO500005358
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.