Western Johnson County Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WESTERN JOHNSON COUNTY MEDICAL CLINIC

Practice address

305 E Pacific St
Kingsville, MO 64061-2512

Phone

(816) 597-3500

Fax

(816) 597-3555

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Wendy Blaylock

Title

Office Manager

Phone

(816) 597-3500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1467405035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "KINGSVILLE",
            "state": "MO",
            "postal_code": "640610111",
            "telephone_number": "816-597-3500",
            "fax_number": "816-597-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E PACIFIC ST",
            "city": "KINGSVILLE",
            "state": "MO",
            "postal_code": "640612512",
            "telephone_number": "816-597-3500",
            "fax_number": "816-597-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN JOHNSON COUNTY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "BLAYLOCK",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-597-3500"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Scholl
• School Dist R-1 Kingsville
• Ann Slattery-Cowles, PLPC
• Amanda Marie Struchtemeyer, LCSW
• Sharon Darlene Weir
• Western Johnson County Medical Clinic LLC

• Clinic/Center in Kingsville, MO
• Providers in Kingsville, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.