NPIMap

Organization Active NPI

Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
National Provider Identifier
1013002765
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SWOPE HEALTH SERVICES
Practice address
4835 State Ave
Kansas City, KS 66102-1747
Phone
(913) 321-2200
NPI assigned
Oct 4, 2006
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Essence Montgomery
Title
Cfo
Phone
(816) 599-5683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

4835 State Ave
Kansas City, KS 66102-1747

Mailing address

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone (816) 923-5800

Other practice location 1

6013 Leavenworth Rd
Kansas City, KS 66104-1436
Phone (913) 321-2200

Other identifiers 1

IdentifierTypeStateIssuer
202260790AMedicaidKS

Other names 1

  • Model Cities Health Corporation of Kansas City Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081201000211 KS Part A Provider - Federally Qualified Health Center (FQHC) 5294644530 Practice locations: Kansas City, KS
O20110921000686 KS Part B Supplier - Clinic/Group Practice 5294644530 Receives reassigned benefits from 57 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kansas City, KS; Leavenworth, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013002765. Details of each certification follow.

Federally qualified health center certification: CCN 171816

Legal name
SWOPE HEALTH SERVICES
Doing business as
MODEL CITIES HEALTH CORPORATION OF KANSAS CITY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 4, 2002
Last certification
Jan 4, 2002
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 24, 1969 in MO
Enrollment address
6013 Leavenworth Rd
Kansas City, KS 66104-1436

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4835 State Ave
Kansas City, KS 66102
Phone (816) 599-5020

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCJABA

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Yolanda Sims Individual Corporate DirectorBoard Member Mar 8, 2016
Harry E Wilkins Individual Corporate DirectorBoard Member Oct 1, 2010
Dana Tippin-Cutler Individual Corporate DirectorBoard Member Mar 8, 2016
Naimish Patel Individual W-2 Managing EmployeeVP Finance Oct 8, 2008 100%
Cielo Fernandez Individual Corporate DirectorBoard Member Mar 8, 2016
E Wynn Presson Individual Corporate DirectorBoard Member Oct 1, 2009
Tresia Franklin Individual Corporate DirectorBoard Member Mar 8, 2016
Ellen Junger Individual Corporate DirectorBoard Member Oct 1, 2010
H. David Whalen Individual Corporate DirectorBoard Member Mar 8, 2016
Jack McCanna Individual Corporate DirectorBoard Member Mar 8, 2016
David R Barber Individual Corporate OfficerCeo Jan 1, 2012 100%
Linda Adkison Individual Corporate DirectorBoard Member Mar 8, 2016

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Swope Health ServicesKansas City, MO, CCN 261802 Federally qualified health center Operational/Managerial Control (100%) Nov 24, 1969
Swope Health ServicesBelton, MO, CCN 261077 Federally qualified health center Operational/Managerial Control (100%) Mar 3, 2014
Swope Health ServicesKansas City, MO, CCN 261115 Federally qualified health center Operational/Managerial Control (100%) Dec 9, 2015
Swope Health ServicesKansas City, MO, CCN 261139 Federally qualified health center Operational/Managerial Control (100%) Feb 23, 2017
Swope Health ServicesKansas City, MO, CCN 791166 Federally qualified health center Operational/Managerial Control (100%) Feb 22, 2021
Swope Health ServicesKansas City, MO, CCN 261903 Federally qualified health center Operational/Managerial Control (100%) Feb 5, 2022

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1013002765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-923-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 STATE AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021747",
            "telephone_number": "913-321-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6013 Leavenworth Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661041436",
            "country_code": "US",
            "telephone_number": "913-321-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWOPE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "ESSENCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-599-5683"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202260790A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Model Cities Health Corporation of Kansas City",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Model Cities Health Corporation of Kansas City",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.