NPIMap

Organization Active NPI

McCune Brooks Regional Hospital

Doing business as Physicians for Women's Health

  • Obstetrics & Gynecology Physician
  • Carthage, MO
National Provider Identifier
1093957128
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MCCUNE BROOKS REGIONAL HOSPITAL
Doing business as
Physicians for Women's Health
Practice address
1515 Hazel St Ste 101
Carthage, MO 64836-2842
Phone
(417) 358-0188
Fax
(417) 358-4612
NPI assigned
Apr 6, 2009
Last updated
Apr 21, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MCCUNE BROOKS REGIONAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Mr. Robert Y Copeland
Title
Ceo
Phone
(417) 358-8121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1515 Hazel St Ste 101
Carthage, MO 64836-2842

Mailing address

1515 Hazel St Ste 101
Carthage, MO 64836-2842
Phone (417) 358-0188

Other identifiers 3

IdentifierTypeStateIssuer
201469608MedicaidMO
203312038MedicaidMO
209731827MedicaidMO

Other names 1

  • PHYSICIANS FOR WOMEN'S HEALTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jay J Fazier DO6 organizations share this tax ID, including this one
Part of
Jay J Fazier DO

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1093957128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HAZEL ST STE 101",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648362842",
            "telephone_number": "417-358-0188",
            "fax_number": "417-358-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HAZEL ST STE 101",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648362842",
            "telephone_number": "417-358-0188",
            "fax_number": "417-358-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCUNE BROOKS REGIONAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCUNE BROOKS REGIONAL HOSPITAL",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-358-8121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201469608",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203312038",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209731827",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS FOR WOMEN'S HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carthage, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.