| NPI | 1386195113 |
|---|---|
| Doing Business As | SAMUEL U. RODGERS HEALTH CENTER NORTHLAND FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | HILDA FUENTES President & Chief Executive Officer 816-889-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-07-21 |