NPIMap

Organization Active NPI

St. Clair County Hospital District No. 1

Doing business as Sac-Osage Hospital Tri-County Clinic

  • Rural Health Clinic/Center
  • Osceola, MO
National Provider Identifier
1396827804
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
24238 Issued in MO
Legal business name
ST. CLAIR COUNTY HOSPITAL DISTRICT NO. 1
Doing business as
Sac-Osage Hospital Tri-County Clinic
Practice address
855 Arduser Dr
Osceola, MO 64776-6278
Phone
(417) 646-8153
Fax
(417) 646-8515
NPI assigned
Oct 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jana Witt
Title
Interim Administrator
Phone
(417) 646-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 24238 MO Primary

Addresses

Primary practice location

855 Arduser Dr
Osceola, MO 64776-6278

Mailing address

855 Arduser Dr
P.O. Box 560
Osceola, MO 64776-6278
Phone (417) 646-8153

Other names 1

  • Sac-Osage Hospital Tri-County Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396827804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ARDUSER DR",
            "address_2": "P.O. BOX 560",
            "city": "OSCEOLA",
            "state": "MO",
            "postal_code": "647766278",
            "telephone_number": "417-646-8153",
            "fax_number": "417-646-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ARDUSER DR",
            "city": "OSCEOLA",
            "state": "MO",
            "postal_code": "647766278",
            "telephone_number": "417-646-8153",
            "fax_number": "417-646-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIR COUNTY HOSPITAL DISTRICT NO. 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "INTERIM ADMINISTRATOR",
        "authorized_official_telephone_number": "417-646-8181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "24238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sac-Osage Hospital Tri-County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osceola, MO

Sources for this page

  • 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.