Apollo Healthcare, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

APOLLO HEALTHCARE, LLC

Practice address

1031 E Karsch Blvd
Farmington, MO 63640-3404

Phone

(573) 756-7880

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Amelia Doris Ledbetter

Title

Director of Operations

Phone

(573) 335-4715

Specialties & licenses 1

Addresses

Tax ID family

Apollo Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Apollo Healthcare, LLC

  • Rural Health Clinic/Center
  • Farmington, MO
  • NPI 1245545391
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenda Charlene Counts, FNP

  • Family Nurse Practitioner
  • Bonne Terre, MO
  • NPI 1215258744
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1366098543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 E KARSCH BLVD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 E KARSCH BLVD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403404",
            "telephone_number": "573-756-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "573-335-4715"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Farmington, MO
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.