NPI:
1982931655
Provider Name:
SAMUEL U. RODGERS HEALTH CENTER, INC.
Doing Business As: SAMUEL U. RODGERS HEALTH CENTER CLAY COUNTY FAMILY MEDICINE & DENTAL
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
800 HAINES DRIVE
LIBERTY, MO
ZIP 64068
Phone:
(816) 792-1575
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SAMUEL U. RODGERS HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Liberty, MO. SAMUEL U. RODGERS HEALTH CENTER, INC. NPI is 1982931655. The provider is registered as an organization entity type.
The provider Is Doing Business As Samuel U. Rodgers Health Center Clay County Family Medicine & Dental.
The provider's business location address is:
800 HAINES DRIVE
LIBERTY, MO
ZIP 64068
Phone: (816) 792-1575
Fax: (816) 889-1803
The provider's authorized official is Robert Theis .
The authorized official title is Acting Ceo and has the following contact phone number (816) 474-4920.
The enumeration date for this NPI number is 11/17/2009 and was last updated on 6/11/2019.