NPI | 1932881380 |
---|---|
Doing Business As | SWOPE HEALTH - EXCELSIOR SPRINGS PEDIATRIC CLINIC |
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 | 2023-08-04 |
Last Update Date | 2024-10-29 |