Organization Active NPI

Complete Healthcare LLC

  • Rural Health Clinic/Center
  • Kennett, MO
National Provider Identifier
1003516485
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.