NPIMap

Organization Active NPI

North East Community Action Corp

  • Non-Surgical Family Planning Clinic/Center
  • Hannibal, MO
National Provider Identifier
1356491955
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
NORTH EAST COMMUNITY ACTION CORP
Practice address
24 Northport PLZ
Hannibal, MO 63401-2269
Phone
(573) 221-3404
Fax
(573) 221-0640
NPI assigned
Jan 12, 2007
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Mr. Donald D Patrick
Title
President Ceo
Phone
(573) 324-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X Primary

Addresses

Primary practice location

24 Northport PLZ
Hannibal, MO 63401-2269

Mailing address

PO Box 470
16 North Court
Bowling Green, MO 63334
Phone (573) 324-2231

Other identifiers 1

IdentifierTypeStateIssuer
522963503MedicaidMO

Other names 1

  • NECAC Family Planning Center and NECAC Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
North East Commuinty Action Corp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24 Northport Plz
Hannibal, MO 63401
Phone (314) 282-3974

3158 Palmyra Rd
Hannibal, MO 63401

3518 Palmyra Rd
Hannibal, MO 63401

3522 Palmyra Rd
Hannibal, MO 63401

3400 Meadow Pointe Dr
O Fallon, MO 63366

120 E Main St
Warrenton, MO 63383
Phone (636) 456-2933

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1356491955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "address_2": "16 NORTH COURT",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "63334",
            "telephone_number": "573-324-2231",
            "fax_number": "573-324-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 NORTHPORT PLZ",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012269",
            "telephone_number": "573-221-3404",
            "fax_number": "573-221-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST COMMUNITY ACTION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "573-324-2231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522963503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NECAC Family Planning Center and NECAC Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.