PCC Investments, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031421 Issued in MO

Legal business name

PCC INVESTMENTS, INC.

Practice address

105 S 6TH St
Pacific, MO 63069-1328

Phone

(636) 271-4222

Fax

(636) 257-8002

NPI assigned

Jul 29, 2005

Organization subpart

No

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

Authorized official

Name

Gretchen Gullet

Title

Administrator

Phone

(636) 271-4222

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1316947401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S 6TH ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691328",
            "telephone_number": "636-271-4222",
            "fax_number": "636-257-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S 6TH ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691328",
            "telephone_number": "636-271-4222",
            "fax_number": "636-257-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCC INVESTMENTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "GULLET",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "636-271-4222"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102343001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Pacific, MO
• Providers in Pacific, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.