Ficom

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

FICOM

Practice address

1308 North Glenstone Avenue
Springfield, MO 65802

Phone

(888) 590-0808

Fax

(866) 740-4689

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Mackenzie Hahn

Title

Ncpdp Coordinator

Phone

(888) 590-0808

Specialties & licenses 1

Addresses

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.

• Ficom Inc.

  • Occupational Medicine Clinic/Center
  • Springfield, MO
  • NPI 1487001517
  NPD tax ID

Locations

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536537600000",
    "number": "1568945103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RITTENHOUSE CIRCLE",
            "address_2": "EAST BUILDING STE 5",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "19007",
            "telephone_number": "888-590-0808",
            "fax_number": "866-740-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 NORTH GLENSTONE AVENUE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65802",
            "telephone_number": "888-590-0808",
            "fax_number": "866-740-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FICOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "NCPDP COORDINATOR",
        "authorized_official_telephone_number": "888-590-0808"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Chiari Ferreira de Souza, PLPC
• Scott W Ferreira, M.D.
• Ferrell Duncan Clinic, Inc
• Salvatrice Fetty
• Jo Ellen Feugate, MD
• Ficom Inc.
• Joah Fidler
• Kathleen M. Fiegen, M.D.
• Alyse Megan Fields, RD, LD
• Isaac Fields, ATC

• Non-Pharmacy Dispensing Site in Springfield, MO
• Providers in Springfield, MO by specialty
• Non-Pharmacy Dispensing Site in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.