Active NPI
Ficom Inc.
- Occupational Medicine Clinic/Center
- Springfield, MO
National Provider Identifier
1487001517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- License
- BUS201600322
- Legal business name
- FICOM INC.
- Doing business as
- Faith Immediate Care & Occupational Medicine
- Practice address
- 1308 N Glenstone Ave
Springfield, MO 65802-2130 - Phone
- (417) 832-1117
- NPI assigned
- May 18, 2016
- 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
- Kay Case
- Title
- Clinic Manager
- Phone
- (417) 832-1117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | BUS201600322 | MO | Primary |
Addresses
Primary practice location
1308 N Glenstone Ave
Springfield, MO 65802-2130
Mailing address
1308 N Glenstone Ave
Springfield, MO 65802-2130
Phone (417) 832-1117
Other names 1
- Faith Immediate Care & Occupational Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2111332 | Faith Immediate Care and Occupational Medicine | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Faith Immediate Care Occupational Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Springfield, MO
- NPI 1568945103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463529600000",
"number": "1487001517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 N GLENSTONE AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658022130",
"telephone_number": "417-832-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 N GLENSTONE AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658022130",
"telephone_number": "417-832-1117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FICOM INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-18",
"last_updated": "2016-05-18",
"status": "A",
"authorized_official_last_name": "CASE",
"authorized_official_first_name": "KAY",
"authorized_official_title_or_position": "CLINIC MANAGER",
"authorized_official_telephone_number": "417-832-1117"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "MO",
"license": "BUS201600322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Faith Immediate Care & Occupational Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.