NPI 1053197251

Health Impact Partners

Organisation Medical Foods Supplier Independence, MO

Practice location

Address: 201 N Forest Ave, Independence, MO 64050-2696
Phone: (816) 867-0867
Mailing address: 312 SW Greenwich Dr # 174, Lees Summit, MO 64082-4408

Authorised official

Name: Kelvin Dam
Title: Manager
Phone: (816) 867-0867

Registered specialties (4)

Medical Foods Supplier Primary

Suppliers Taxonomy 335G00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Public Health or Welfare Agency

Agencies Taxonomy 251K00000X

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Registry record

NPI: 1053197251
Entity type: Organization
NPI issued: 4 Sep 2023
Record last updated: 4 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.