NPIMap

Organization Active NPI

Jesse D Helton

  • Rural Health Clinic/Center
  • House Springs, MO
National Provider Identifier
1235103003
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
JESSE D HELTON
Practice address
100 Osage Executive Cir
House Springs, MO 63051-1382
Phone
(636) 677-9977
Fax
(636) 677-9179
NPI assigned
Feb 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Jesse Dwayne Helton, DONPI 1720058381
Title
Owner
Phone
(636) 677-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 2006025334 MO
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X R6F69 MO
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X DO113093 MO
Rural Health Clinic/Center 261QR1300X MO Primary

Addresses

Primary practice location

100 Osage Executive Cir
House Springs, MO 63051-1382

Mailing address

100 Osage Executive Cir
House Springs, MO 63051-1382
Phone (636) 677-9977

Other identifiers 3

IdentifierTypeStateIssuer
504043001MedicaidMO
26D0975596OtherMOCLIA
595379306MedicaidMO

Other names 1

  • Byrnes Mill Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Byrnes Mill Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1235103003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OSAGE EXECUTIVE CIR",
            "city": "HOUSE SPRINGS",
            "state": "MO",
            "postal_code": "630511382",
            "telephone_number": "636-677-9977",
            "fax_number": "636-677-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OSAGE EXECUTIVE CIR",
            "city": "HOUSE SPRINGS",
            "state": "MO",
            "postal_code": "630511382",
            "telephone_number": "636-677-9977",
            "fax_number": "636-677-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE D HELTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "HELTON",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-677-9977",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006025334",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R6F69",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "DO113093",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504043001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0975596",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595379306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Byrnes Mill Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in House Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.