Legacy Healthcare Foundation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LEGACY HEALTHCARE FOUNDATION

Practice address

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797

Phone

(573) 275-8601

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Massey, RN

Title

Chief Clinical Operations Officer

Phone

(573) 275-8601

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1427836733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "573-275-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "573-275-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF CLINICAL OPERATIONS OFFICER",
        "authorized_official_telephone_number": "573-275-8601",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Kelso
• Gregory J King, APRN
• Karen Knaup, LCPC, LPC
• Melinda Koester-Combs, RPT
• Rondie R Lamb
• Ryan Lewis
• Janderon Loyd, LMSW-T
• Christina Lutter-Smith
• Lux Dental LLC
• Joy Noel Mapes, LMSW

• Urgent Care Clinic/Center in Fort Scott, KS
• Providers in Fort Scott, KS by specialty
• Urgent Care Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.