THOMAS CARE CLINIC LLC NPI 1962086496

NPI Information

NPI: 1962086496
Provider Name: THOMAS CARE CLINIC LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 26D2244255

Address:
2040 E SUNSHINE ST
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 275-8900
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THOMAS CARE CLINIC LLC is a health service clinic center in Springfield, MO. THOMAS CARE CLINIC LLC NPI is 1962086496. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2040 E SUNSHINE ST
SPRINGFIELD, MO
ZIP 65804-815
Phone: (417) 275-8900
Fax: (417) 270-8012

The provider's authorized official is Alicia R Thomas .
The authorized official title is Clinic Owner and has the following contact phone number (417) 275-8900.

The CLIA number assigned to this NPI record is 26D2244255 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2021 and was last updated on 4/23/2024.

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	Primary
1	208VP0000X	Pain Medicine	Pain Medicine	No
2	261Q00000X	Clinic/Center		No
3	261QH0100X	Clinic/Center	Health Service	Yes
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	261QP2300X	Clinic/Center	Primary Care	No
6	363LF0000X	Nurse Practitioner	Family	No
7	363LP2300X	Nurse Practitioner	Primary Care	No

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	1154787638	OTHER	MISSOURI	NPPES
2	420028118	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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