HCC Network

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

HCC NETWORK

Doing business as

Live Well Community Health Center-Waverly

Practice address

608 Missouri Street
Waverly, MO 64096-8421

Phone

(877) 344-3572

Fax

(866) 228-4492

NPI assigned

May 23, 2013

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Toniann Richard

Title

Executive Director

Phone

(660) 259-2440

Specialties & licenses 1

Addresses

Other names 1

• Live Well Community Health Center-Waverly Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174960769. Details of each certification follow.

• CCN 261073 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 261073

Legal name

HCC NETWORK

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 1, 2014

Last certification

Apr 1, 2014

Ownership / control type

Non-profit – church related

Organization structure

PartnershipNon-profit

Incorporated

Jan 30, 2006 in MO

Enrollment address

608 Missouri St
Waverly, MO 64096-8241

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• HCC Network

  dba Live Well Community Health Center Buckner

  • Federally Qualified Health Center (FQHC)
  • Buckner, MO
  • NPI 1174992374

  6800034679

  Same PAC ID
• HCC Network

  • Federally Qualified Health Center (FQHC)
  • Carrollton, MO
  • NPI 1255114559

  6800034679

  Same PAC ID
• HCC Network

  dba Live Well Community Health Center Lexington

  • Federally Qualified Health Center (FQHC)
  • Lexington, MO
  • NPI 1295356731

  6800034679

  Same PAC ID
• HCC Network

  dba Live Well Community Health Center Independence

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1760150817

  6800034679

  Same PAC ID
• HCC Network

  dba Live Well Community Health Center-Concordia

  • Federally Qualified Health Center (FQHC)
  • Concordia, MO
  • NPI 1992142582

  6800034679

  Same PAC ID

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• HCC Network

  dba Live Well Community Health Center Buckner

  • Federally Qualified Health Center (FQHC)
  • Buckner, MO
  • NPI 1174992374

  O20131030001256

  Same enrollment
• HCC Network

  • Federally Qualified Health Center (FQHC)
  • Carrollton, MO
  • NPI 1255114559

  O20131030001256

  Same enrollment
• HCC Network

  dba Live Well Community Health Center Lexington

  • Federally Qualified Health Center (FQHC)
  • Lexington, MO
  • NPI 1295356731

  O20131030001256

  Same enrollment
• HCC Network

  dba Live Well Community Health Center Independence

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1760150817

  O20131030001256

  Same enrollment
• HCC Network

  dba Live Well Community Health Center-Concordia

  • Federally Qualified Health Center (FQHC)
  • Concordia, MO
  • NPI 1992142582

  O20131030001256

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• HCC Network

  dba Live Well Community Health Center Independence

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1760150817

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGBBCA

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• HCC Network

  dba Live Well Community Health Center Buckner

  • Federally Qualified Health Center (FQHC)
  • Buckner, MO
  • NPI 1174992374

  5% Or Greater Direct Ownership Interest

  CMS ownership
• HCC Network

  • Federally Qualified Health Center (FQHC)
  • Carrollton, MO
  • NPI 1255114559

  5% Or Greater Direct Ownership Interest

  CMS ownership
• HCC Network

  dba Live Well Community Health Center Lexington

  • Federally Qualified Health Center (FQHC)
  • Lexington, MO
  • NPI 1295356731

  5% Or Greater Direct Ownership Interest

  CMS ownership
• HCC Network

  dba Live Well Community Health Center Independence

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1760150817

  5% Or Greater Direct Ownership Interest

  CMS ownership
• HCC Network

  dba Live Well Community Health Center-Concordia

  • Federally Qualified Health Center (FQHC)
  • Concordia, MO
  • NPI 1992142582

  5% Or Greater Direct Ownership Interest

  CMS ownership

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• HCC Network

  dba Live Well Community Health Center Buckner

  • Federally Qualified Health Center (FQHC)
  • Buckner, MO
  • NPI 1174992374

  5% Or Greater Direct Ownership Interest

  CMS ownership
• HCC Network

  dba Live Well Community Health Center Lexington

  • Federally Qualified Health Center (FQHC)
  • Lexington, MO
  • NPI 1295356731

  5% Or Greater Direct Ownership Interest

  CMS ownership
• HCC Network

  dba Live Well Community Health Center Independence

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1760150817

  5% Or Greater Direct Ownership Interest

  CMS ownership
• HCC Network

  dba Live Well Community Health Center-Concordia

  • Federally Qualified Health Center (FQHC)
  • Concordia, MO
  • NPI 1992142582

  5% Or Greater Direct Ownership Interest

  CMS ownership

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• HCC Network

  dba Live Well Community Health Center Buckner

  • Federally Qualified Health Center (FQHC)
  • Buckner, MO
  • NPI 1174992374

  HCC Network

  CMS ownership
• HCC Network

  dba Live Well Community Health Center Lexington

  • Federally Qualified Health Center (FQHC)
  • Lexington, MO
  • NPI 1295356731

  HCC Network

  CMS ownership
• HCC Network

  dba Live Well Community Health Center Independence

  • Federally Qualified Health Center (FQHC)
  • Independence, MO
  • NPI 1760150817

  HCC Network

  CMS ownership
• HCC Network

  dba Live Well Community Health Center-Concordia

  • Federally Qualified Health Center (FQHC)
  • Concordia, MO
  • NPI 1992142582

  HCC Network

  CMS ownership

Practitioners 23

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.

• Mark Roy Bagby, DDS

  • General Practice Dentistry
  • Lake Ozark, MO
  • NPI 1477755775
  Medicare reassignment NPD
• London Bales, DMD

  • General Practice Dentistry
  • Carrollton, MO
  • NPI 1952090789
  Medicare reassignment NPD
• Jacklynn M Burk, MSN, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Independence, MO
  • NPI 1548916489
  Medicare reassignment NPD
• Erica Collins, LCSW

  • Clinical Social Worker
  • Concordia, MO
  • NPI 1275006793
  Medicare reassignment NPD
• William Enochs, MD

  • Psychiatry Physician
  • Independence, MO
  • NPI 1144617978
  Medicare reassignment NPD
• Allyson Hollenbeck

  • Dentist
  • Lexington, MO
  • NPI 1609663608
  Medicare reassignment NPD
• Preston B Howerton, DO

  • Internal Medicine Physician
  • Marshall, MO
  • NPI 1023004652
  Medicare reassignment NPD
• Joseph Eldon Jacobson Jr., LCSW

  • Clinical Social Worker
  • Lexington, MO
  • NPI 1720259724
  Medicare reassignment NPD
• Chelsea E Neel, MSN, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Independence, MO
  • NPI 1144856980
  Medicare reassignment NPD
• Rachael M Parker, DMD

  • General Practice Dentistry
  • Sikeston, MO
  • NPI 1760091524
  Medicare reassignment NPD
• Mary Beth Schnell, NP

  • Acute Care Nurse Practitioner
  • Lexington, MO
  • NPI 1831978766
  Medicare reassignment NPD
• Drew D Shoemaker, M.D.

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1851313399
  Medicare reassignment NPD

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1174960769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 S BUSINESS HIGHWAY 13",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671515",
            "telephone_number": "660-259-2440",
            "fax_number": "660-259-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MISSOURI STREET",
            "city": "WAVERLY",
            "state": "MO",
            "postal_code": "640968421",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCC NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2025-09-02",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "TONIANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-259-2440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well Community Health Center-Waverly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah G. Ashinhurst
• Dorothy L Dighton, FNP
• Cynthia Diane Stock, FNP-C
• Kyra J Tracy, RDH
• Waverly 1 Inc (Apple Ridge Care Center)
• Ambria Michelle Wimsatt, LCSW

• Federally Qualified Health Center (FQHC) in Waverly, MO
• Providers in Waverly, MO by specialty
• Federally Qualified Health Center (FQHC) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.