NPIMap

Organization Active NPI

Kennett Hma LLC

  • Rural Health Clinic/Center
  • Kennett, MO
National Provider Identifier
1023342987
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
5147 Issued in MO
Legal business name
KENNETT HMA LLC
Doing business as
Twin Rivers Women's Center
Practice address
509 South Byp
Kennett, MO 63857-3248
Phone
(573) 888-0444
Fax
(573) 888-0450
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(615) 925-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 5147 MO Primary

Addresses

Primary practice location

509 South Byp
Kennett, MO 63857-3248

Mailing address

509 South Byp
Kennett, MO 63857-3248
Phone (573) 888-0444

Other names 1

  • Twin Rivers Women's Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1023342987",
    "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",
            "telephone_number": "573-888-0444",
            "fax_number": "573-888-0450"
        },
        {
            "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": "573-888-0444",
            "fax_number": "573-888-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETT HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "5147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Rivers Women's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 9, 2017; 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.