OrganizationActive
Integrated Health Providers LLC
NPI 1255772679 · Health Service Clinic/Center · Kansas City, MO
Provider details
- NPI number
- 1255772679
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janice Wagner, Dr/President(816) 523-4600
- License
- 2004008729 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
114 W Gregory Blvd
Suite 200
Kansas City, MO 64114-1148
Phone: (816) 523-4600
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8828
Kansas City, MO 64114-8828
Registry dates
- Enumerated
- 2013-07-14
- Last updated
- 2014-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.