NPIMap

Organization Active NPI

Hermann Area Hospital District

Doing business as Medical Clinic of Owensville

  • Rural Health Clinic/Center
  • Owensville, MO
National Provider Identifier
1235204702
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HERMANN AREA HOSPITAL DISTRICT
Doing business as
Medical Clinic of Owensville
Practice address
708 E Highway 28
Owensville, MO 65066-1588
Phone
(573) 437-4481
Fax
(573) 437-3232
NPI assigned
Nov 21, 2006
Last updated
Apr 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Dan McKinney
Title
Admin
Phone
(573) 486-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X MO Primary

Addresses

Primary practice location

708 E Highway 28
Owensville, MO 65066-1588

Mailing address

PO Box 19
Hermann, MO 65041-0019
Phone (573) 486-1193

Other identifiers 1

IdentifierTypeStateIssuer
595803602MedicaidMO

Other names 1

  • Medical Clinic of Owensville Doing business as

National Provider Directory

National Provider Directory

Locations

708 E Highway 28
Owensville, MO 65066
Phone (573) 437-4481

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1235204702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650410019",
            "telephone_number": "573-486-1193",
            "fax_number": "573-486-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E HIGHWAY 28",
            "city": "OWENSVILLE",
            "state": "MO",
            "postal_code": "650661588",
            "telephone_number": "573-437-4481",
            "fax_number": "573-437-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMANN AREA HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "573-486-2191"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595803602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Clinic of Owensville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owensville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.