Active NPI
Barton County Memorial Hospital
Doing business as Medical One Clinic
- Rural Health Clinic/Center
- Lamar, MO
National Provider Identifier
1275730160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 268648
- 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, 2015
- Organization subpart
- Yes
- Parent organization
- BARTON COUNTY MEMORIAL HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 101370 | MO | |
| Rheumatology Physician | 207RR0500X | R3B59 | MO | |
| Rheumatology Physician | 207RR0500X | 114482 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 105928 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 106158 | MO | |
| Neurology Physician | 2084N0400X | 100303 | MO | |
| Rural Health Clinic/Center | 261QR1300X | 268648 | MO | Primary |
| Family Nurse Practitioner | 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
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.
-
- Family Medicine Physician
- Lamar, MO
- NPI 1689717456
-
- Registered Nurse
- Lamar, MO
- NPI 1790989523
-
- Internal Medicine Physician
- Joplin, MO
- NPI 1881653962
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
- Barton County Health Department (Barton County Health Department Home Health Agency)
- Barton County Learning Center for Exceptional Children, Inc.
- Barton County Memorial Hospital (Medical One Satellite Clinic)
- Barton County Memorial Hospital
- Barton County Memorial Hospital
- Barton County Memorial Hospital (Medical One Clinic)
- Barton County Memorial Hospital
- Barton County Physical Therapy & Wellness LLC
- Julie A Bennett, PLPC
- Courtney Beshore
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.