Organization Active NPI

Kansas City Community Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Kansas City, MO
National Provider Identifier
1043536626
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
KANSAS CITY COMMUNITY CENTER
Practice address
622 Benton Blvd
Kansas City, MO 64124-2559
Phone
(816) 421-6670
Fax
(816) 842-1835
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Mr. Charles Eugene Morgan, M.S. M.P.A.
Title
President
Phone
(816) 421-6670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

622 Benton Blvd
Kansas City, MO 64124-2559

Mailing address

1730 Prospect Ave
Kansas City, MO 64127-2544
Phone (816) 421-6670

Other identifiers 1

IdentifierTypeStateIssuer
1053587469MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Kansas City Community Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

622 Benton Blvd
Kansas City, MO 64124
Phone (816) 421-6670

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1043536626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PROSPECT AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641272544",
            "telephone_number": "816-421-6670",
            "fax_number": "816-421-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 BENTON BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242559",
            "telephone_number": "816-421-6670",
            "fax_number": "816-842-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-421-6670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S. M.P.A."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053587469",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.