| NPI | 1275024333 |
|---|---|
| Other Name | SAMUEL U. RODGERS HEALTH CENTER EASTGATE MIDDLE SCHOOL |
| Entity Type | Organization |
| Authorized Contact | ROBERT THEIS Acting CEO 816-474-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2019-06-11 |