Active NPI
Complete Healthcare LLC
- Rural Health Clinic/Center
- Kennett, MO
National Provider Identifier
1003516485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- COMPLETE HEALTHCARE LLC
- Practice address
- 509 South Byp
Kennett, MO 63857-3248 - Phone
- (870) 243-4650
- NPI assigned
- Mar 6, 2023
- Organization subpart
- Yes
- Parent organization
- COMPLETE HEALTHCARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Prather
- Title
- Compliance
- Phone
- (573) 559-3394
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
509 South Byp
Kennett, MO 63857-3248
Mailing address
509 South Byp
Kennett, MO 63857-3248
National Provider Directory
National Provider Directory- Part of
- Complete Healthcare LLC
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Jonesboro, AR
- NPI 1477705507
-
- Interventional Cardiology Physician
- Jonesboro, AR
- NPI 1043215023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1003516485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 SOUTH BYP",
"city": "KENNETT",
"state": "MO",
"postal_code": "638573248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 SOUTH BYP",
"city": "KENNETT",
"state": "MO",
"postal_code": "638573248",
"telephone_number": "870-243-4650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE HEALTHCARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMPLETE HEALTHCARE LLC",
"enumeration_date": "2023-03-06",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "PRATHER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "COMPLIANCE",
"authorized_official_telephone_number": "573-559-3394"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.