Provider Demographics
NPI:1609879063
Name:MERCY & TRUTH MEDICAL MISSIONS, INC
Entity Type:Organization
Organization Name:MERCY & TRUTH MEDICAL MISSIONS, INC
Other - Org Name:MERCY & TRUTH MEDICAL MISSIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEOFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIGENYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-621-0074
Mailing Address - Street 1:721 N 31ST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-3972
Mailing Address - Country:US
Mailing Address - Phone:913-621-0074
Mailing Address - Fax:877-223-0571
Practice Address - Street 1:721 N 31ST ST STE 101
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-3972
Practice Address - Country:US
Practice Address - Phone:913-621-0074
Practice Address - Fax:913-621-1996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X, 261QF0400X, 363LF0000X, 363LP0200X, 207Q00000X
KS0062980-003261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)Group - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO504478009Medicaid
KS100454840AMedicaid
KS100454840AMedicaid