Organization Active NPI

Patients First Health Care LLC

  • Internal Medicine Physician
  • Bourbon, MO
National Provider Identifier
1033307681
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PATIENTS FIRST HEALTH CARE LLC
Practice address
125 N. Old Highway 66
Bourbon, MO 65541
Phone
(573) 679-2006
Fax
(573) 679-2003
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Michael E Rau, M.D.
Title
Chairman
Phone
(636) 390-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

125 N. Old Highway 66
Bourbon, MO 65541

Mailing address

901 Patients First Dr
Washington, MO 63090-4700
Phone (636) 390-1400

Other identifiers 1

IdentifierTypeStateIssuer
503763401MedicaidMO

National Provider Directory

National Provider Directory

Locations

125 N Old Highway 66
Bourbon, MO 65441
Phone (573) 679-2006

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1033307681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-390-1400",
            "fax_number": "636-390-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N. OLD HIGHWAY 66",
            "city": "BOURBON",
            "state": "MO",
            "postal_code": "65541",
            "telephone_number": "573-679-2006",
            "fax_number": "573-679-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS FIRST HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "636-390-1400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "503763401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.