Organization Active NPI

Barton County Memorial Hospital

Doing business as Medical One Clinic

  • Rural Health Clinic/Center
  • Lamar, MO
National Provider Identifier
1275730160
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
268648 Issued in MO
Legal business name
BARTON COUNTY MEMORIAL HOSPITAL
Doing business as
Medical One Clinic
Practice address
29 NW 1St LN
Lamar, MO 64759-8105
Phone
(417) 681-5284
Fax
(417) 681-5514
NPI assigned
Jul 2, 2007
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
BARTON COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
T J Killingsworth
Title
Billing Office Supervisor
Phone
(417) 681-5248

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 101370 MO
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X R3B59 MO
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X 114482 MO
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 105928 MO
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 106158 MO
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 100303 MO
Rural Health Clinic/Center 261QR1300X 268648 MO Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X F0497088 MO

Addresses

Primary practice location

29 NW 1St LN
Lamar, MO 64759-8105

Mailing address

29 NW 1St LN
Lamar, MO 64759-8105
Phone (417) 681-5284

Other names 1

  • Medical One Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Winston C Mina MD

Practitioners & affiliated clinicians

Practitioners 3

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": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1275730160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NW 1ST LN",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647598105",
            "telephone_number": "417-681-5284",
            "fax_number": "417-681-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NW 1ST LN",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647598105",
            "telephone_number": "417-681-5284",
            "fax_number": "417-681-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTON COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARTON COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2007-07-02",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "KILLINGSWORTH",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "417-681-5248"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "101370",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "R3B59",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "114482",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "105928",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "106158",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "100303",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "268648",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F0497088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical One Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.