NPI | 1174037519 |
---|---|
Other Name | SAMUEL U. RODGERS HEALTH CENTER BLUE SPRINGS SCHOOL DISTRICT |
Entity Type | Organization |
Authorized Contact | MONIQUE PROCTOR Credentialing Coordinator 816-889-1928 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-11-21 |
Last Update Date | 2019-06-11 |