Organization Active NPI

Scheidler Rural Health Clinic

  • Adult Medicine Physician
  • Kennett, MO
National Provider Identifier
1033384870
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
SCHEIDLER RURAL HEALTH CLINIC
Practice address
301 South Byp
Kennett, MO 63857-3252
Phone
(573) 888-0900
Fax
(573) 888-9588
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Mrs. Jacob Kier
Title
Office Manager
Phone
(573) 888-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

301 South Byp
Kennett, MO 63857-3252

Mailing address

301 South Byp
Kennett, MO 63857-3252
Phone (573) 888-0900

Other identifiers 1

IdentifierTypeStateIssuer
508337805MedicaidMO

National Provider Directory

National Provider Directory

Locations

301 South Byp
Kennett, MO 63857
Phone (573) 717-1269

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1033384870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SOUTH BYP",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573252",
            "telephone_number": "573-888-0900",
            "fax_number": "573-888-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOUTH BYP",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573252",
            "telephone_number": "573-888-0900",
            "fax_number": "573-888-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHEIDLER RURAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "KIER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-888-0900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508337805",
            "state": "MO"
        }
    ],
    "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 30, 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.