REGIONAL HEALTH CARE CLINIC INC NPI 1952655862

NPI Information

NPI: 1952655862
Provider Name: REGIONAL HEALTH CARE CLINIC, INC

Doing Business As: KATY TRAIL COMMUNITY HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
701 N OAK ST
STOVER, MO
ZIP 65078
Phone: (573) 377-4295
Get Directions

REGIONAL HEALTH CARE CLINIC, INC is a federally qualified health center (fqhc) clinic center in Stover, MO. REGIONAL HEALTH CARE CLINIC, INC NPI is 1952655862. The provider is registered as an organization entity type.
The provider Is Doing Business As Katy Trail Community Health.

The provider's business location address is:

701 N OAK ST
STOVER, MO
ZIP 65078-842
Phone: (573) 377-4295
Fax: (660) 826-1300

The provider's authorized official is Michael Waller .
The authorized official title is Ceo and has the following contact phone number (660) 826-4774.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 2/21/2024.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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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