NPIMap

Organization Active NPI

St. Clair County Hospital District #1

  • Rural Health Clinic/Center
  • Wheatland, MO
National Provider Identifier
1386728798
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ST. CLAIR COUNTY HOSPITAL DISTRICT #1
Practice address
Hwy 54 East
Wheatland, MO 65779
Phone
(417) 282-5882
Fax
(417) 282-5681
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Mary C Smiley
Title
Ceo
Phone
(417) 646-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X MO Primary

Addresses

Primary practice location

Hwy 54 East
Wheatland, MO 65779

Mailing address

Hwy 54 East
Wheatland, MO 65779-7501
Phone (417) 282-5882

Other identifiers 1

IdentifierTypeStateIssuer
505985200MedicaidMO

Other names 1

  • Lake Area Primary Care Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1386728798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HWY 54 EAST",
            "city": "WHEATLAND",
            "state": "MO",
            "postal_code": "657797501",
            "telephone_number": "417-282-5882",
            "fax_number": "417-282-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 54 EAST",
            "city": "WHEATLAND",
            "state": "MO",
            "postal_code": "65779",
            "telephone_number": "417-282-5882",
            "fax_number": "417-282-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIR COUNTY HOSPITAL DISTRICT #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-646-8181"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505985200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Area Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wheatland, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.