Kennett Hma LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

5147 Issued in MO

Legal business name

KENNETT HMA LLC

Doing business as

Twin Rivers Medical Group-IM

Practice address

1231 1St St
Kennett, MO 63857-2527

Phone

(573) 888-8606

Fax

(573) 717-1085

NPI assigned

Oct 17, 2016

Organization subpart

No

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

Authorized official

Name

Paula M Lalor

Title

Director/Delegated Official

Phone

(615) 925-4565

Specialties & licenses 1

Addresses

Other names 1

• Twin Rivers Medical Group-IM Doing business as

Locations

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1205387024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572527",
            "telephone_number": "573-888-8606",
            "fax_number": "573-717-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572527",
            "telephone_number": "573-888-8606",
            "fax_number": "573-717-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETT HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "5147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Rivers Medical Group-IM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennett Emergency Physicians
• Kennett Heart and Vascular PLLC
• Kennett Hma Inc
• Kennett Hma LLC
• Kennett Hma LLC
• Kennett Hma LLC
• Kennett Hma LLC
• Kennett Hma LLC
• Kennett Hma LLC
• Kennett Hma LLC

• Rural Health Clinic/Center in Kennett, MO
• Providers in Kennett, 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 Oct 9, 2017; 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.