NPI | 1427749936 |
---|---|
Doing Business As | KIDSCARE LEAVENWORTH PEDIATRICS |
Doing Business As | SWOPE HEALTH GOLON PEDIATRICS |
Entity Type | Organization |
Authorized Contact | ESSENCE MONGTOMERY CFO 816-599-5683 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-05-16 |
Last Update Date | 2024-10-29 |