NPIMap

Organization Active NPI

Swope Health Services

  • Federally Qualified Health Center (FQHC)
  • Kansas City, KS
National Provider Identifier
1861587511
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
21 N 12TH St
Suite 400
Kansas City, KS 66102-5161
Phone
(816) 922-7600
NPI assigned
Oct 4, 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 NU Primary

Addresses

Primary practice location

21 N 12TH St
Suite 400
Kansas City, KS 66102-5161

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100326110AMedicaidKS

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 KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050928001573 KS Part A Provider - Federally Qualified Health Center (FQHC) 5294644530 Practice locations: Kansas City, KS
O20110921000686 KS Part B Supplier - Clinic/Group Practice 5294644530 Receives reassigned benefits from 57 practitioners
3 other NPIs on this enrollment
Practice locations: Kansas City, KS; Leavenworth, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861587511. Details of each certification follow.

Federally qualified health center certification: CCN 171803

Legal name
SWOPE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 22, 1994
Last certification
Aug 22, 1994
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 24, 1969 in MO
Enrollment address
21N 12TH St 400
Kansas City, KS 66102-5172

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 3

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

National Provider Directory

National Provider Directory

Locations

21 N 12th St
Ste 400
Kansas City, KS 66102
Phone (816) 599-5111

Ownership & related parties

All disclosed owners & managing parties 7

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 Aug 1, 2014
Cielo Fernandez Individual Corporate DirectorBoard Member Aug 1, 2014
Carlos Gomez Individual Corporate DirectorBoard Member Jun 1, 2013
Tresia Franklin Individual Corporate DirectorBoard Member May 1, 2015
David R Barber Individual Corporate OfficerPresident/Ceo Jan 1, 2012 100%
Operational/Managerial ControlPresident & Ceo Aug 4, 1998 100%
Essence Montgomery Individual Contracted Managing EmployeeCfo Aug 7, 2024
Corporate OfficerCfo Aug 7, 2024
W-2 Managing EmployeeCfo Aug 7, 2024
Linda Adkison Individual Corporate DirectorBoard Member Jan 1, 2014

All facility ownership & control disclosures 6

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 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 6

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

Practitioners & affiliated clinicians

Practitioners 58

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 58

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1861587511",
    "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": "21 N 12TH ST",
            "address_2": "SUITE 400",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661025161",
            "telephone_number": "816-922-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWOPE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100326110A",
            "state": "KS"
        }
    ],
    "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, KS

Sources for this page

Verify at the official NPI Registry.