Noble Health Audrain Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

NOBLE HEALTH AUDRAIN INC

Practice address

240 N. Pickering Street
Montgomery City, MO 63361-1941

Phone

(573) 564-2101

Fax

(573) 564-2130

NPI assigned

Jan 27, 2021

Organization subpart

Yes

Parent organization

NOBLE HEALTH AUDRAIN INCAs reported in NPPES

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

Authorized official

Name

Amy L Obrien

Title

Ceo

Phone

(573) 582-5000

Specialties & licenses 1

Addresses

Other names 1

• Audrain Com Clinic Montgomery Doing business as

Part of

Audrain Comm Cancer Center

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Noble Health Audrain Inc

  • General Acute Care Hospital
  • Mexico, MO
  • NPI 1891386504
  NPPES parent name

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1154912871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N. PICKERING STREET",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633611941",
            "telephone_number": "573-564-2101",
            "fax_number": "573-564-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N. PICKERING STREET",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633611941",
            "telephone_number": "573-564-2101",
            "fax_number": "573-564-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HEALTH AUDRAIN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOBLE HEALTH AUDRAIN INC",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-582-5000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audrain Com Clinic Montgomery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Montgomery County Health Department
• Susan Mount
• Ms MGC Inc
• Ms MGC Inc
• Thomas Robert Nichols, DDS
• Melanie Jeanne Oehler, PHARM.D
• Robert M Palmer, O.D.
• Taylor Marie Peters, BCBA, LBA
• Preferred Family Healthcare Inc
• Cierra Puent

• Rural Health Clinic/Center in Montgomery City, MO
• Providers in Montgomery City, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.