NPIMap

Organization Active NPI

Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
National Provider Identifier
1689760076
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
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Phone
(816) 923-5800
NPI assigned
Oct 5, 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 MO Primary

Addresses

Primary practice location

3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
500586110MedicaidMO

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 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
Practice locations: Kansas City, MO; Riverside, MO; Independence, MO; Excelsior Springs, MO; Belton, MO
O20081201000484 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 1689760076. Details of each certification follow.

Federally qualified health center certification: CCN 261802

Legal name
SWOPE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 24, 1969 in MO
Enrollment address
3801 Blue Pkwy
Kansas City, MO 64130-2807

Facilities connected through Provider of Services related, parent or unit certification numbers.

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

Ownership & related parties

All disclosed owners & managing parties 19

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 Director Mar 11, 2014
Harry E Wilkins Individual Corporate DirectorBoard Member Mar 9, 2010
Elizabeth Preston Individual Corporate Director Mar 8, 2016
Dana Tippin-Cutler Individual Corporate DirectorBoard Member Jun 1, 2013
Tom H Kokjer Individual Corporate Director Dec 12, 2017
Maurice Oelklaus Individual Corporate Director Mar 8, 2016
Cielo Fernandez Individual Corporate Director Mar 11, 2014
Jack III Cannon Individual Corporate Director Apr 11, 2017
Tresia Franklin Individual Corporate Director Mar 10, 2015
Swope Health Services Organization, Kansas City, MO Corporation, Non-profit Operational/Managerial Control Nov 24, 1969 100%
Ellen Junger Individual Corporate DirectorBoard Member Mar 9, 2010
H. David Whalen Individual Corporate Director Mar 12, 2013
Jack McCanna Individual Corporate Director Mar 8, 2016
Juan M Rangel Individual Corporate Director Jan 9, 2018
Essence Montgomery Individual Corporate Officer Aug 7, 2024
W-2 Managing EmployeeCfo Aug 7, 2024
Operational/Managerial Control Aug 7, 2024
Jeron Ravin Individual Corporate OfficerCeo Aug 26, 2019 100%
W-2 Managing EmployeeCeo Aug 26, 2019
Operational/Managerial ControlCeo Nov 24, 1969 100%
Linda Adkison Individual Corporate Director Mar 11, 2014
David Lisbon Individual Corporate Director Mar 7, 2017
James Boyd Individual Corporate Director Mar 8, 2016

Owners & managing parties with NPI records 15

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

View all 15

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 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 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 179

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 179

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1689760076",
    "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": "3801 DR MARTIN LUTHER KING JR BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641302807",
            "telephone_number": "816-923-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWOPE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "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": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500586110",
            "state": "MO"
        }
    ],
    "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, MO

Sources for this page

Verify at the official NPI Registry.