Active NPI
Complete Care Clinic LLC
- Primary Care Clinic/Center
- Nixa, MO
National Provider Identifier
1457030397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- COMPLETE CARE CLINIC LLC
- Practice address
- 103 N Old Wilderness Rd
Nixa, MO 65714-9057 - Phone
- (417) 576-0643
- NPI assigned
- Jul 17, 2023
- 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
- Steve McClanahan
- Title
- Owner
- Phone
- (417) 576-0643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
103 N Old Wilderness Rd
Nixa, MO 65714-9057
Mailing address
103 N Old Wilderness Rd
Nixa, MO 65714-9057
Phone (417) 576-0643
National Provider Directory
National Provider Directory- Tax ID family
- Aspen Elevated Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Nixa, MO
- NPI 1255150819
Locations
103 N Old Wilderness Rd
Nixa, MO 65714
Phone (417) 724-0308
1173 E Hines St
Republic, MO 65738
Phone (417) 735-0055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768435200000",
"number": "1457030397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N OLD WILDERNESS RD",
"city": "NIXA",
"state": "MO",
"postal_code": "657149057",
"telephone_number": "417-576-0643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N OLD WILDERNESS RD",
"city": "NIXA",
"state": "MO",
"postal_code": "657149057",
"telephone_number": "417-576-0643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE CARE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-17",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A",
"authorized_official_last_name": "MCCLANAHAN",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-576-0643"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nixa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.