NPI | 1073950135 |
---|---|
Doing Business As | SAMUEL U. RODGERS HEALTH CENTER CABOT WESTSIDE MEDICAL AND DENTAL |
Doing Business As | SAMUEL U. RODGERS HEALTH CENTER CABOT WESTSIDE |
Entity Type | Organization |
Authorized Contact | HILDA FUENTES Chief Executive Officer 816-889-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-05-30 |
Last Update Date | 2022-07-21 |