Organization Active NPI

Ficom Inc.

  • Occupational Medicine Clinic/Center
  • Springfield, MO
National Provider Identifier
1487001517
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
BUS201600322 Issued in MO
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

Updated by the provider on May 18, 2016

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2111332Faith Immediate Care and Occupational Medicine1308 N Glenstone Ave, Springfield, MO 65802Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Faith Immediate Care Occupational Medicine2 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.

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.

Verify at the official NPI Registry.