NPIMap

Organization Active NPI

Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
National Provider Identifier
1154796217
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
6406 E 87TH St
Kansas City, MO 64138-2800
Phone
(816) 923-5800
NPI assigned
Dec 1, 2015
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 Primary

Addresses

Primary practice location

6406 E 87TH St
Kansas City, MO 64138-2800

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040416000940 MO Part B Supplier - Clinic/Group Practice 5294644530 Receives reassigned benefits from 176 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kansas City, MO; Riverside, MO; Independence, MO; Excelsior Springs, MO; Belton, MO
O20160201001727 MO Part A Provider - Federally Qualified Health Center (FQHC) 5294644530 Practice locations: Kansas City, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154796217. Details of each certification follow.

Federally qualified health center certification: CCN 261115

Legal name
SWOPE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 1, 2016
Last certification
Feb 1, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 24, 1969 in MO
Enrollment address
6406 E 87TH St
Kansas City, MO 64138-2800

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 11

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

National Provider Directory

National Provider Directory
Tax ID family
Swope Parkway Helath Ce34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Locations

8800 Blue Ridge Blvd
Ste 208
Kansas City, MO 64138
Phone (816) 321-3200

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 Dec 1, 2014
W-2 Managing EmployeeBoard Member Mar 11, 2014
Harry E Wilkins Individual Corporate DirectorBoard Member Oct 1, 2010
W-2 Managing EmployeeBoard Member Mar 9, 2010
Elizabeth Preston Individual Corporate DirectorBoard Member Mar 8, 2016
W-2 Managing EmployeeBoard Member Mar 8, 2016
Tom H Kokjer Individual Corporate DirectorBoard Member Dec 12, 2017
W-2 Managing EmployeeBoard Member Dec 12, 2017
Jack III Cannon Individual Corporate DirectorBoard Member Apr 11, 2017
W-2 Managing EmployeeBoard Member Apr 11, 2017
Tresia Franklin Individual Corporate DirectorBoard Member Sep 1, 2015
W-2 Managing EmployeeBoard Member Mar 10, 2015
Swope Health Services Organization, Kansas City, MO Corporation, Non-profit Operational/Managerial Control Dec 9, 2015 100%
Jack McCanna Individual Corporate DirectorBoard Member Mar 8, 2016
W-2 Managing EmployeeBoard Member Mar 8, 2016
Juan M Rangel Individual Corporate DirectorBoard Member Jan 9, 2018
W-2 Managing EmployeeBoard Member Jan 9, 2018
Essence Montgomery Individual Corporate OfficerCfo Aug 7, 2024
W-2 Managing EmployeeCfo Aug 7, 2024
Operational/Managerial ControlCfo Aug 7, 2024
Jeron Ravin Individual Corporate OfficerCeo & President Aug 26, 2019 100%
W-2 Managing EmployeeCeo & President Aug 26, 2019
Linda Adkison Individual Corporate DirectorBoard Member Dec 1, 2014
W-2 Managing EmployeeBoard Member Mar 11, 2014

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 14

All facility ownership & control disclosures 5

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 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 5

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

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1154796217",
    "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": "6406 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641382800",
            "telephone_number": "816-923-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWOPE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.