Provider Demographics
NPI:1659426005
Name:SAGE FEMME BIRTH CENTER OF KANSAS CITY, INC.
Entity Type:Organization
Organization Name:SAGE FEMME BIRTH CENTER OF KANSAS CITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-371-9966
Mailing Address - Street 1:721 N 31ST ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-3964
Mailing Address - Country:US
Mailing Address - Phone:913-281-6457
Mailing Address - Fax:913-281-6474
Practice Address - Street 1:721 N 31ST ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-3964
Practice Address - Country:US
Practice Address - Phone:913-281-6457
Practice Address - Fax:913-281-6474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0056403004363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty