Sikeston Health Care for All LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SIKESTON HEALTH CARE FOR ALL LLC

Practice address

808 E Wakefield Ave Ste B
Sikeston, MO 63801-5100

Phone

(573) 475-7071

NPI assigned

Apr 30, 2018

Last updated

Apr 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nova Crawford

Title

Owner

Phone

(573) 475-7071

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1558859066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E WAKEFIELD AVE STE B",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015100",
            "telephone_number": "573-475-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E WAKEFIELD AVE STE B",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015100",
            "telephone_number": "573-475-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIKESTON HEALTH CARE FOR ALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "NOVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-475-7071",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Shell, DPT, PT, ATC, LAT
• William C. Shell, M.D.
• Penny Shelton, ACNP-C
• Emily Michelle Shor, PHARMD
• Sikeston Emergency Group LLC
• Sikeston Imaging Center, LLC
• Sikeston Medical Center, L.L.P
• Sikeston Pharmacy LLC (Sikeston Medicenter Pharmacy)
• Sikeston Pharmacy LLC (Sikeston MediCenter Pharmacy)
• Sikeston R6 School District

• Rural Health Clinic/Center in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.