Active NPI
HCC Network
Doing business as Live Well Community Health Center Buckner
- Federally Qualified Health Center (FQHC)
- Buckner, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
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
- Other
- 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).
-
dba Live Well Community Health Center-Waverly
- Federally Qualified Health Center (FQHC)
- Waverly, MO
- NPI 1174960769
6800034679
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
6800034679
-
dba Live Well Community Health Center Independence
- Federally Qualified Health Center (FQHC)
- Independence, MO
- NPI 1760150817
6800034679
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
6800034679
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Live Well Community Health Center-Waverly
- Federally Qualified Health Center (FQHC)
- Waverly, MO
- NPI 1174960769
O20131030001256
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
O20131030001256
-
dba Live Well Community Health Center Independence
- Federally Qualified Health Center (FQHC)
- Independence, MO
- NPI 1760150817
O20131030001256
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
O20131030001256
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2105964 | HCC Network | Certificate of waiver | Aug 19, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- HCC Network
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Carrollton, MO
- NPI 1255114559
-
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1275437436
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
-
dba Live Well Community Health Center Independence
- Federally Qualified Health Center (FQHC)
- Independence, MO
- NPI 1760150817
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Julie a Pratt | Corporate Officer | Aug 27, 2019 | |
| Linda Crowell | Corporate Officer | Apr 24, 2019 | |
| Jami Benson | Corporate Officer | Mar 24, 2020 | |
| Stephen Munson | Corporate Officer | Mar 24, 2020 | |
| Breann Jensen | Corporate Officer | Feb 22, 2022 | |
| Marsha Corbin | Corporate Officer | Jul 1, 2013 | |
| Janice Putnam | Corporate Officer | Feb 26, 2019 | |
| HCC Network | 5% Or Greater Direct Ownership Interest | Sep 18, 2015 | 100% |
| Holly Mefferd | Corporate Officer | Jul 1, 2013 | |
| Toniann Richard | Corporate Director | Sep 18, 2015 | 100% |
| W-2 Managing Employee | Sep 18, 2015 | 100% | |
| Operational/Managerial Control | Sep 18, 2015 | 95% | |
| Sarrah Morgan | Corporate Officer | Oct 22, 2019 | |
| Suzanne Gladney | Corporate Officer | 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.
-
dba Live Well Community Health Center-Waverly
- Federally Qualified Health Center (FQHC)
- Waverly, MO
- NPI 1174960769
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Carrollton, MO
- NPI 1255114559
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center Independence
- Federally Qualified Health Center (FQHC)
- Independence, MO
- NPI 1760150817
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| HCC Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2014 |
| HCC Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2013 |
| HCC Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 15, 2020 |
| HCC Network | 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.
-
dba Live Well Community Health Center-Waverly
- Federally Qualified Health Center (FQHC)
- Waverly, MO
- NPI 1174960769
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center Independence
- Federally Qualified Health Center (FQHC)
- Independence, MO
- NPI 1760150817
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
5% Or Greater Direct Ownership Interest
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Live Well Community Health Center-Waverly
- Federally Qualified Health Center (FQHC)
- Waverly, MO
- NPI 1174960769
HCC Network
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
HCC Network
-
dba Live Well Community Health Center Independence
- Federally Qualified Health Center (FQHC)
- Independence, MO
- NPI 1760150817
HCC Network
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
HCC Network
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.
-
- Clinical Social Worker
- Concordia, MO
- NPI 1275006793
-
- Family Nurse Practitioner
- Buckner, MO
- NPI 1841396363
-
- Clinical Social Worker
- Lexington, MO
- NPI 1720259724
-
- General Practice Dentistry
- Sikeston, MO
- NPI 1760091524
-
- Family Nurse Practitioner
- Carrollton, MO
- NPI 1699088278
-
- Clinical Social Worker
- Waverly, MO
- NPI 1073086955
-
- Family Nurse Practitioner
- Marshall, MO
- NPI 1881132587
-
- Psychiatry Physician
- Independence, MO
- NPI 1144617978
-
- Internal Medicine Physician
- Marshall, MO
- NPI 1023004652
-
- Psychiatric/Mental Health Nurse Practitioner
- Independence, MO
- NPI 1144856980
-
- Dentist
- Lee's Summit, MO
- NPI 1285076364
-
- General Practice Dentistry
- Buckner, MO
- NPI 1083191548
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.