NPIMap

Organization Active NPI

Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Belton, MO
National Provider Identifier
1770907347
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
204 E North Ave
Belton, MO 64012-2013
Phone
(816) 932-5800
NPI assigned
Feb 18, 2014
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SWOPE HEALTH SERVICESAs reported in NPPES

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

204 E North Ave
Belton, MO 64012-2013

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
O20140506000290 MO Part A Provider - Federally Qualified Health Center (FQHC) 5294644530 Practice locations: Belton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770907347. Details of each certification follow.

Federally qualified health center certification: CCN 261077

Legal name
SWOPE HEALTH SERVICES
Doing business as
SWOPE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 21, 2014
Last certification
May 21, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
204 E North Ave
Belton, MO 64012-2013

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 HLTH Ctr34 organizations share this tax ID, including this one
Part of
Swope Parkway HLTH Ctr

Other organizations with this tax ID 33

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

View all 33

Locations

204 E North Ave
Belton, MO 64012
Phone (816) 331-7744

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 11, 2014
Harry E Wilkins Individual Corporate DirectorBoard Member Oct 1, 2010
Elizabeth Preston Individual Corporate DirectorBoard Member Mar 8, 2016
Naimish Patel Individual Corporate OfficerChief Financial Officer Oct 8, 2008 100%
W-2 Managing EmployeeChief Financial Officer Mar 3, 2014 100%
Tom H Kokjer Individual Corporate DirectorBoard Member Dec 12, 2017
Jack III Cannon Individual Corporate DirectorBoard Member Apr 11, 2017
Tresia Franklin Individual Corporate DirectorBoard Member Mar 10, 2015
Swope Health Services Organization, Kansas City, MO Operational/Managerial Control Mar 3, 2014 100%
Jack McCanna Individual Corporate DirectorBoard Member Mar 8, 2016
Juan M Rangel Individual Corporate DirectorBoard Member Jan 9, 2018
Jeron Ravin Individual Corporate OfficerCeo Aug 26, 2019
W-2 Managing EmployeeCeo/President Aug 26, 2019
Linda Adkison Individual Corporate DirectorBoard 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 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 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1770907347",
    "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": "204 E NORTH AVE",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122013",
            "telephone_number": "816-932-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWOPE HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SWOPE HEALTH SERVICES",
        "enumeration_date": "2014-02-18",
        "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 Belton, MO

Sources for this page

Verify at the official NPI Registry.