Organization Active NPI

Plunkett Family Care Center LLC

  • Rural Health Clinic/Center
  • Poplar Bluff, MO
National Provider Identifier
1447256987
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
268906 Issued in MO
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

Updated by the provider on Oct 3, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X R3284 MO
Rural Health Clinic/Center 261QR1300X 268906 MO Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 089729 MO
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Ownership & 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.

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.

Verify at the official NPI Registry.