Active NPI
Plunkett Family Care Center LLC
- Rural Health Clinic/Center
- Poplar Bluff, MO
National Provider Identifier
1447256987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 268906
- Legal business name
- PLUNKETT FAMILY CARE CENTER LLC
- Practice address
- 2480 Three Rivers Blvd
Poplar Bluff, MO 63901-2318 - Phone
- (573) 686-5564
- Fax
- (573) 686-2838
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Littleton J Plunkett, M.D.
- Title
- Owner
- Phone
- (573) 686-5564
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R3284 | MO | |
| Rural Health Clinic/Center | 261QR1300X | 268906 | MO | Primary |
| Family Nurse Practitioner | 363LF0000X | 089729 | MO | |
| Family Nurse Practitioner | 363LF0000X | 143295 | MO |
Addresses
Primary practice location
2480 Three Rivers Blvd
Poplar Bluff, MO 63901-2318
Mailing address
2480 Three Rivers Blvd
Poplar Bluff, MO 63901-2318
Phone (573) 686-5564
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Primary Care Clinic/Center
- Poplar Bluff, MO
- NPI 1922280189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191369600000",
"number": "1447256987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 THREE RIVERS BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012318",
"telephone_number": "573-686-5564",
"fax_number": "573-686-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 THREE RIVERS BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012318",
"telephone_number": "573-686-5564",
"fax_number": "573-686-2838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLUNKETT FAMILY CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2007-10-03",
"status": "A",
"authorized_official_last_name": "PLUNKETT",
"authorized_official_first_name": "LITTLETON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-686-5564",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "R3284",
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "MO",
"license": "268906",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "089729",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "143295",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.