NPIMap

Organization Active NPI

Barton County Memorial Hospital

Doing business as Medical One Satellite Clinic

  • Family Medicine Physician
  • Lamar, MO
National Provider Identifier
1104129733
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8N54 Issued in MO
Legal business name
BARTON COUNTY MEMORIAL HOSPITAL
Doing business as
Medical One Satellite Clinic
Practice address
102 W 2ND St
Lamar, MO 64759-1029
Phone
(417) 681-0214
Fax
(417) 681-0136
NPI assigned
Dec 21, 2010
Last updated
Mar 22, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BARTON COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Ms. TJ Allen
Title
Clinic Business Coordinator
Phone
(417) 681-0214

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X R8N54 MO Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X

Addresses

Primary practice location

102 W 2ND St
Lamar, MO 64759-1029

Mailing address

102 W 2ND St
Lamar, MO 64759-1029
Phone (417) 681-0214

Other names 1

  • Medical One Satellite Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Winston C Mina MD

Locations

102 W 2nd St
Lamar, MO 64759
Phone (417) 681-0214

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": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1104129733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 2ND ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591029",
            "telephone_number": "417-681-0214",
            "fax_number": "417-681-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 2ND ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591029",
            "telephone_number": "417-681-0214",
            "fax_number": "417-681-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTON COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARTON COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2010-12-21",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TJ",
        "authorized_official_title_or_position": "CLINIC BUSINESS COORDINATOR",
        "authorized_official_telephone_number": "417-681-0214",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8N54",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical One Satellite Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamar, MO

Sources for this page

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