Organization Active NPI

Complete Care Clinic LLC

  • Primary Care Clinic/Center
  • Nixa, MO
National Provider Identifier
1457030397
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Jan 15, 2026

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)CodeLicenseStatePrimary
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 Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.