Clark'S Mountain Management, Corp
Organization Active NPI Skilled Nursing Facility · Piedmont, MO
NPI 1568469310 · NPPES record last updated Oct 18, 2011
Key facts
- NPI
- 1568469310
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 031284 (MO)
- Legal business name
- CLARK'S MOUNTAIN MANAGEMENT, CORP
- Practice address
- 2100 Barnes St
Piedmont, MO 63957-1008 - Phone
- (573) 223-4297
- Fax
- (573) 223-7121
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. James Reiker
- Title
- Vice President - Finance
- Phone
- (573) 471-1113
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 031284 | MO | Yes |
Addresses
Primary practice location
2100 Barnes St
Piedmont, MO 63957-1008
Mailing address
2100 Barnes St
Piedmont, MO 63957-1008
Phone (573) 223-4297
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101453504 | Medicaid | MO |
Other names
- Clakr's Mountain Nursing Center
Other providers in Piedmont, MO
- Tara Kathryn Burleson
- Alexandra D Burns
- Nicole Marie Burse
- Theron Burse
- Clayton Joe Carson
- Clearwater Ambulance District
- Clearwater Health Resources Inc
- Clearwater Health Resources Inc
- Clearwater R-1 School District
- Clearwater Vision Center
All providers in Piedmont, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.