NPIMap

Organization Active NPI

Stoddard County Family Care LLC

  • Rural Health Clinic/Center
  • Dexter, MO
National Provider Identifier
1083848923
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STODDARD COUNTY FAMILY CARE LLC
Practice address
1300 N One Mile Rd
Dexter, MO 63841-1042
Phone
(573) 624-1640
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. Bhawan Yamraj, MD
Title
Owner
Phone
(573) 624-1640

Specialties & licenses 1

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

Addresses

Primary practice location

1300 N One Mile Rd
Dexter, MO 63841-1042

Mailing address

1300 N One Mile Rd
Dexter, MO 63841-1042
Phone (573) 624-1640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1083848923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N ONE MILE RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411042",
            "telephone_number": "573-624-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N ONE MILE RD",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411042",
            "telephone_number": "573-624-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STODDARD COUNTY FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "YAMRAJ",
        "authorized_official_first_name": "BHAWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-624-1640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.