Active NPI
McCune Brooks Hospital
- Rural Health Clinic/Center
- Carthage, MO
National Provider Identifier
1346533569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MCCUNE BROOKS HOSPITAL
- Practice address
- 1515 Hazel St
Suite 204
Carthage, MO 64836-2850 - Phone
- (417) 237-0983
- Fax
- (417) 237-0997
- NPI assigned
- May 20, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Y Copeland
- Title
- Ceo
- Phone
- (417) 358-8121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
1515 Hazel St
Suite 204
Carthage, MO 64836-2850
Mailing address
1515 Hazel St
Suite 204
Carthage, MO 64836-2850
Phone (417) 237-0983
Other names 1
- Carthage Pediatrics
National Provider Directory
National Provider Directory- Tax ID family
- McCune Brooks Regional Hospital
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Carthage, MO
- NPI 1215221809
-
- Obstetrics & Gynecology Physician
- Carthage, MO
- NPI 1093957128
-
- Pediatric Adolescent Medicine Physician
- Carthage, MO
- NPI 1336381755
-
- Emergency Care Clinic/Center
- Carthage, MO
- NPI 1104999762
-
- Ambulance
- Carthage, MO
- NPI 1376643304
Locations
2040 S Garrison Ave
Carthage, MO 64836
Phone (417) 359-2357
1515 Hazel Ave
Ste 204
Carthage, MO 64836
Phone (417) 237-0983
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Carthage, MO
- NPI 1457336018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305849600000",
"number": "1346533569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 HAZEL ST",
"address_2": "SUITE 204",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648362850",
"telephone_number": "417-237-0983",
"fax_number": "417-237-0997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HAZEL ST",
"address_2": "SUITE 204",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648362850",
"telephone_number": "417-237-0983",
"fax_number": "417-237-0997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCCUNE BROOKS HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-20",
"last_updated": "2011-05-20",
"status": "A",
"authorized_official_last_name": "COPELAND",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "417-358-8121",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carthage Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carthage, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.