NPIMap

Organization Active NPI

Barton County Memorial Hospital

Doing business as Medical One Clinic

  • General Practice Physician
  • Lamar, MO
National Provider Identifier
1508193087
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BARTON COUNTY MEMORIAL HOSPITAL
Doing business as
Medical One Clinic
Practice address
29 NW 1St LN
Lamar, MO 64759-8105
Phone
(417) 681-5284
Fax
(417) 681-5526
NPI assigned
Nov 4, 2009
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
T J Killingsworth
Title
Credentialing
Phone
(417) 681-5248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

29 NW 1St LN
Lamar, MO 64759-8105

Mailing address

29 NW 1St LN
Lamar, MO 64759-8105
Phone (417) 681-5284

Other identifiers 2

IdentifierTypeStateIssuer
208D00000XOtherMOTAXONOMY
193200000XOtherMOTAXONOMY

Other names 1

  • Medical One Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Barton County Memorial5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1508193087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NW 1ST LN",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647598105",
            "telephone_number": "417-681-5284",
            "fax_number": "417-681-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NW 1ST LN",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647598105",
            "telephone_number": "417-681-5284",
            "fax_number": "417-681-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTON COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "KILLINGSWORTH",
        "authorized_official_first_name": "T",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "417-681-5248"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "208D00000X",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "193200000X",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical One Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.