Pettis County Health Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

N/A Issued in MO

Legal business name

PETTIS COUNTY HEALTH CENTER

Practice address

911 E 16TH St
Sedalia, MO 65301-7733

Phone

(660) 827-1130

Fax

(660) 827-1141

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Joann F Martin, APRN, CPNP, MSN RNNPI 1174644090

Title

Administrator

Phone

(660) 827-1130

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pettis County Health Center Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Joann Martin, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Sedalia, MO
  • NPI 1174644090
  NPD (past) Authorized official
• Debbie L. Freels, RN, MSN, FNP-BC, CNM

  • Family Nurse Practitioner
  • Knob Noster, MO
  • NPI 1851398044
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1417924606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 16TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017733",
            "telephone_number": "660-827-1130",
            "fax_number": "660-827-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 16TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017733",
            "telephone_number": "660-827-1130",
            "fax_number": "660-827-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTIS COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "660-827-1130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, CPNP, MSN RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MO",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512095704",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pettis County Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael R Perusich, DC
• Andrea Nicole Petersen, DNP, FNP
• Pettis County Ambulance District
• Pettis County Assisted Living, L.L.C.
• Pettis County Board of Services for the Developmentally Disabled
• Pettis Emergency Group LLC
• Pettis Physician Services LLC
• Emma Pieper, DC
• Matthew Pieper, DC
• Angela Dawn Pike, DNP, FNP-C, PMHNP-BC

• Public Health or Welfare Agency in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Public Health or Welfare Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.