Community Clinic of Southwest Missouri

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COMMUNITY CLINIC OF SOUTHWEST MISSOURI

Practice address

701 S Joplin Ave
Joplin, MO 64801-4515

Phone

(417) 624-5500

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By 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

Stephanie Marie Brady

Title

Executive Director

Phone

(417) 624-5500

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20184/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1386429272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S JOPLIN AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014515",
            "telephone_number": "417-624-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S JOPLIN AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014515",
            "telephone_number": "417-624-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CLINIC OF SOUTHWEST MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "417-624-5500"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Morae Collette, D.C.
• Diana L Collings, LCSW
• Grant T. Collings
• Kasandra Diane Collins
• Lindsey Rene Colpitts
• Community Hospices of America, LLC (Hospice Compassus - Joplin)
• Community Hospices of America, LLC (Hospice Compassus - Joplin)
• Compassionate Inner Awakenings Counseling, LLC
• Angela Cecile Comstock, OTR
• Lolita Gahum Concha, PT

• Clinic/Center in Joplin, MO
• Providers in Joplin, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.