Organization Active NPI

HCC Network

Doing business as Live Well Community Health Center Buckner

  • Federally Qualified Health Center (FQHC)
  • Buckner, MO
National Provider Identifier
1174992374
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HCC NETWORK
Doing business as
Live Well Community Health Center Buckner
Practice address
324 S Hudson St
Buckner, MO 64016-8142
Phone
(877) 344-3572
Fax
(866) 228-4492
NPI assigned
Sep 17, 2015
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Toniann Richard
Title
Executive Director
Phone
(660) 259-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

324 S Hudson St
Buckner, MO 64016-8142

Mailing address

819 S Business Highway 13
Lexington, MO 64067-1515

Other names 1

  • Live Well Community Health Center Buckner Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131030001256 MO Part B Supplier - Clinic/Group Practice 6800034679 Receives reassigned benefits from 20 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Buckner, MO; Carrollton, MO; Concordia, MO; Independence, MO; Lexington, MO; Waverly, MO
O20151110001103 MO Part A Provider - Federally Qualified Health Center (FQHC) 6800034679 Practice locations: Buckner, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174992374. Details of each certification follow.

Federally qualified health center certification: CCN 261106

Legal name
HCC NETWORK
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 10, 2015
Last certification
Nov 10, 2015
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Incorporated
Feb 3, 2006 in MO
Enrollment address
324 S Hudson St
Buckner, MO 64016-8142

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 5

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2105964HCC Network324 S Hudson St, Buckner, MO 64016Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
HCC Network6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

17611 E US Highway 24
Ste Hcc
Independence, MO 64056

Ownership & related parties

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.

NameRoleSinceShare
Julie a Pratt Individual Corporate OfficerGeneral Board Member Aug 27, 2019
Linda Crowell Individual Corporate OfficerGeneral Board Member Apr 24, 2019
Jami Benson Individual Corporate OfficerGeneral Board Member Mar 24, 2020
Stephen Munson Individual Corporate OfficerGeneral Board Member Mar 24, 2020
Breann Jensen Individual Corporate OfficerGeneral Board Member Feb 22, 2022
Marsha Corbin Individual Corporate OfficerBoard Chair Jul 1, 2013
Janice Putnam Individual Corporate OfficerBoard Vice Chair Feb 26, 2019
HCC Network Organization, Lexington, MO 5% Or Greater Direct Ownership Interest Sep 18, 2015 100%
Holly Mefferd Individual Corporate OfficerBoard Secretary Jul 1, 2013
Toniann Richard Individual Corporate Director Sep 18, 2015 100%
W-2 Managing EmployeeExecutive Director Sep 18, 2015 100%
Operational/Managerial ControlExecutive Director Sep 18, 2015 95%
Sarrah Morgan Individual Corporate OfficerGeneral Board Member Oct 22, 2019
Suzanne Gladney Individual Corporate OfficerGeneral Board Member Jul 1, 2013

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
HCC NetworkConcordia, MO, CCN 261072 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2014
HCC NetworkWaverly, MO, CCN 261073 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2013
HCC NetworkLexington, MO, CCN 791002 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Apr 15, 2020
HCC NetworkIndependence, MO, CCN 791184 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2021

Owned or controlled facilities with NPI records 4

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1174992374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S BUSINESS HIGHWAY 13",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S HUDSON ST",
            "city": "BUCKNER",
            "state": "MO",
            "postal_code": "640168142",
            "telephone_number": "877-344-3572",
            "fax_number": "866-228-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCC NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Well Community Health Center Buckner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckner, MO

Sources for this page

Verify at the official NPI Registry.