NPI | 1689760076 |
---|---|
Former Legal Business Name | MODEL CITIES HEALTH CORPORATION OF KANSAS CITY |
Entity Type | Organization |
Authorized Contact | ESSENCE MONTGOMERY CFO 816-599-5683 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2024-10-29 |