Active NPI
Kansas City Community Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Kansas City, MO
National Provider Identifier
1043536626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053587469 | Medicaid | MO |
National Provider Directory
National Provider Directory- Tax ID family
- Kansas City Community Center
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Kansas City, MO
- NPI 1023462058
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Kansas City, MO
- NPI 1053587469
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Springfield, MO
- NPI 1871826008
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Kansas City, MO
- NPI 1881838134
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
- Kansas City Care Clinic
- Kansas City Care Clinic
- Kansas City Care Clinic
- Kansas City Chiropractic, P.C.
- Kansas City Cognitive-Behavioral Therapy, LLC
- Kansas City Community Center
- Kansas City Family Allergy,LLC
- Kansas City Family Chiropractic Center
- Kansas City Foot and Ankle PC
- Kansas City Free Eye Clinic
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.