ST. CLAIR COUNTY HOSPITAL DISTRICT #1 NPI 1386728798

NPI Information

NPI: 1386728798
Provider Name: ST. CLAIR COUNTY HOSPITAL DISTRICT #1

Doing Business As: LAKE AREA PRIMARY CARE CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
HWY 54 EAST
WHEATLAND, MO
ZIP 65779
Phone: (417) 282-5882
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ST. CLAIR COUNTY HOSPITAL DISTRICT #1 is a rural health clinic center in Wheatland, MO. ST. CLAIR COUNTY HOSPITAL DISTRICT #1 NPI is 1386728798. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Area Primary Care Clinic.

The provider's business location address is:

HWY 54 EAST
WHEATLAND, MO
ZIP 65779
Phone: (417) 282-5882
Fax: (417) 282-5681

The provider's authorized official is Mary C Smiley .
The authorized official title is Ceo and has the following contact phone number (417) 646-8181.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 4/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health		MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	268615	MEDICARE OSCAR/CERTIFICATION	MISSOURI
2	000013727	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	MEDICARE GROUP #
3	505985200	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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