Organization Active NPI

I Am Health Clinic, LLC

  • Clinic/Center
  • El Dorado Springs, MO
National Provider Identifier
1104106103
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
I AM HEALTH CLINIC, LLC
Practice address
1005 S Allison Rd
Suite a
El Dorado Springs, MO 64744-2431
Phone
(417) 876-4771
Fax
(417) 876-4775
NPI assigned
Aug 22, 2011
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Mrs. Cheri K Allison, FNP
Title
Owner/Manager
Phone
(417) 876-4771

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1005 S Allison Rd
Suite a
El Dorado Springs, MO 64744-2431

Mailing address

1005 S Allison Rd
Suite a
El Dorado Springs, MO 64744-2431
Phone (417) 876-4771

National Provider Directory

National Provider Directory

Locations

1005 S Allison Rd
Ste A
El Dorado Springs, MO 64744
Phone (417) 296-4056

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1104106103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S ALLISON RD",
            "address_2": "SUITE A",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442431",
            "telephone_number": "417-876-4771",
            "fax_number": "417-876-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S ALLISON RD",
            "address_2": "SUITE A",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442431",
            "telephone_number": "417-876-4771",
            "fax_number": "417-876-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "417-876-4771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.