NPIMap

Organization Active NPI

Nevada City Hospital

Doing business as Nevada Regional Medical Center Rich Hill Family Medical Clinic

  • Rural Health Clinic/Center
  • Rich Hill, MO
National Provider Identifier
1417049511
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
19043 Issued in MO
Legal business name
NEVADA CITY HOSPITAL
Doing business as
Nevada Regional Medical Center Rich Hill Family Medical Clinic
Practice address
320 N. 14TH Street
Rich Hill, MO 64779-2145
Phone
(417) 395-2150
Fax
(417) 395-2153
NPI assigned
Sep 28, 2006
Last updated
Dec 19, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NEVADA CITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Jason Anglin
Title
Ceo/Authorized Official
Phone
(417) 448-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 19043 MO Primary

Addresses

Primary practice location

320 N. 14TH Street
Rich Hill, MO 64779-2145

Mailing address

800 S. Ash Street
Nevada, MO 64772-3223
Phone (417) 667-3355

Other identifiers 2

IdentifierTypeStateIssuer
21902019OtherMOBLUE CROSS PROVIDER NUMBE
597677509MedicaidMO

Other names 1

  • Nevada Regional Medical Center Rich Hill Family Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071204000194 MO Part A Provider - Rural Health Clinic 9830095280 Practice locations: Rich Hill, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417049511. Details of each certification follow.

Rural health clinic certification: CCN 263425

Legal name
NEVADA CITY HOSPITAL
Doing business as
NRMC RICH HILL FAMILY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 7, 1994
Last certification
Aug 27, 2024
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
320 N 14TH St
Rich Hill, MO 64779-2145
Related CCNs
260061

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Sheldon Family Medical4 organizations share this tax ID, including this one
Part of
Sheldon Family Medical

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michelle Cox Individual W-2 Managing Employee Mar 15, 2017
Brian Leonard Individual Corporate DirectorBoard Member Feb 1, 2025
Jayne Novak Individual Corporate DirectorBoard Member Jan 1, 2022
Holly B Bush Individual Corporate OfficerCoo/Authorized Official Jun 2, 2025
Amanda Swink Individual Corporate DirectorBoard Member Jan 1, 2024
Mike Brown Individual Corporate DirectorBoard Member/Vice Chair Jan 1, 2022
Candice a Moore Individual Corporate Officer Mar 1, 2016
Aimee Meyer Individual Corporate DirectorBoard Member Jan 1, 2022
Cindy Thompson Individual Corporate DirectorBoard Member Jan 1, 2022
Jason W Anglin Individual Corporate OfficerCeo/Authorized Official Jan 17, 2022
Seth Barrett Individual Corporate Director Jan 1, 2023
Geoff Stewart Individual Corporate DirectorBoard Member Jan 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nevada Regional Medical CenterNevada, MO, CCN 26S061 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
NRMC Nowcare ClinicNevada, MO, CCN 268645 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Nevada City Hospital

    dba Nevada Regional Medical Center Now Care Clinic

    • Rural Health Clinic/Center
    • Nevada, MO
    • NPI 1427385517

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Nevada City Hospital

    dba Nevada Regional Medical Center

    • Rural Acute Care Hospital
    • Nevada, MO
    • NPI 1942283866

    5% Or Greater Direct Ownership Interest

    CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1417049511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S. ASH STREET",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723223",
            "telephone_number": "417-667-3355",
            "fax_number": "417-448-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N. 14TH STREET",
            "city": "RICH HILL",
            "state": "MO",
            "postal_code": "647792145",
            "telephone_number": "417-395-2150",
            "fax_number": "417-395-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA CITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA CITY HOSPITAL",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "417-448-3626"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "19043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "21902019",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "597677509",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Regional Medical Center Rich Hill Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nevada Regional Medical Center Rich Hill Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rich Hill, MO

Sources for this page

Verify at the official NPI Registry.