Kneibert Clinic LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

KNEIBERT CLINIC LLC

Doing business as

KNeibert North Rural Health Clinic RHC

Practice address

686 Lester St
Poplar Bluff, MO 63902

Phone

(573) 686-2411

Fax

(573) 686-8452

NPI assigned

Jan 4, 2006

Last updated

Aug 22, 2020By 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

Robert E Christian

Title

Administrator

Phone

(573) 778-7210

Specialties & licenses 1

Addresses

Other names 1

• KNeibert North Rural Health Clinic RHC Doing business as

Locations

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.

• Bradley J Stuckenschneider, M.D.

  • Ophthalmology Physician
  • Poplar Bluff, MO
  • NPI 1679607030
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386622959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63902",
            "telephone_number": "573-686-2411",
            "fax_number": "573-686-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 LESTER ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "63902",
            "telephone_number": "573-686-2411",
            "fax_number": "573-686-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEIBERT CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-778-7210"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KNeibert North Rural Health Clinic RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Josephine Klick
• Kneibert Clinic LLC
• Kneibert Clinic LLC (Kneibert Clinic Rural Health Clinic)
• Kneibert Clinic LLC (Kneibert Clinic Radiology)
• Kneibert Clinic LLC (Kneibert North)
• Kneibert Clinic LLC (Kneibert Clinic Optical Shoppe)
• Kneibert Clinic LLC (Kneibert Clinic Pharmacy - Durable Medical Equipment)
• Kneibert Clinic LLC
• Kneibert Clinic LLC (Kneibert Clinic Lab)
• Ann C Kneibert, LPC

• Rural Health Clinic/Center in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.