JOSEPH WILLIAM STAFFORD NPI 1528064102

NPI Information

NPI: 1528064102
Provider Name: JOSEPH WILLIAM STAFFORD
Classification: Clinic/Center - 261QR1300X
Entity Type: Individual

Specialization: Rural Health

Address:
312 N KENTUCKY AVE
WEST PLAINS, MO
ZIP 65775
Phone: (417) 257-7076
Get Directions

Joseph William Stafford is a rural health clinic center in West Plains, MO. Joseph William Stafford NPI is 1528064102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

312 N KENTUCKY AVE
WEST PLAINS, MO
ZIP 65775-073
Phone: (417) 257-7076
Fax: (417) 257-1417

The enumeration date for this NPI number is 6/28/2005 and was last updated on 9/6/2012.

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	2080A0000X	Pediatrics	Adolescent Medicine	R3F13	MISSOURI	No
2	261QR1300X	Clinic/Center	Rural Health			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	202169405	MEDICAID	MISSOURI
2	598351302	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	RURAL HEALTH CLINIC NO
3	108316001	MEDICARE ID-TYPE UNSPECIFIED	ALASKA	AR MED NO
4	268918	MEDICARE OSCAR/CERTIFICATION

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: 5/5/2024

NPI Synchronization or Removal

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