Healthmont of Missouri LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HEALTHMONT OF MISSOURI LLC

Doing business as

DBA Callaway Community Hospital DBA Speciality Clinics

Practice address

850 W Hospital Dr
Suite F
Fulton, MO 65251-2535

Phone

(573) 642-5338

Fax

(573) 642-9224

NPI assigned

Jun 22, 2009

Last updated

Mar 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael C. Deaton

Title

Cfo

Phone

(573) 592-6521

Specialties & licenses 1

Addresses

Other names 1

• DBA Callaway Community Hospital DBA Speciality Clinics Doing business as

Locations

Practitioners 1

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.

• William P Cravens, M.D.

  • Family Medicine Physician
  • Fulton, MO
  • NPI 1104802479
  NPD (past)

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1275760829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W HOSPITAL DR",
            "address_2": "SUITE F",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512535",
            "telephone_number": "573-642-8280",
            "fax_number": "573-642-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HOSPITAL DR",
            "address_2": "SUITE F",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512535",
            "telephone_number": "573-642-5338",
            "fax_number": "573-642-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMONT OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-592-6521"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Callaway Community Hospital DBA Speciality Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Jordan Hassler, MAT, LAT, ATC
• Barbara Jean Hauck, R. PH.
• Healthmont of Missouri (Community Home Care)
• Healthmont of Missouri LLC (Callaway Community Hospital)
• Healthmont of Missouri LLC (Callaway Community Hospital)
• Healthmont of Missouri LLC (Fulton Medical Clinic)
• Healthmont of Missouri LLC (Callaway Community Hospital)
• Clare Verda Heitz
• Chanda L Herron, LCSW
• Theodore G Hirschinger, LCSW

• Specialist in Fulton, MO
• Providers in Fulton, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.