NPIMap

Organization Active NPI

Mission Missouri

  • Point of Service
  • Sikeston, MO
National Provider Identifier
1578795472
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
MISSION MISSOURI
Practice address
509 Ruth St
Sikeston, MO 63801-2763
Phone
(573) 481-0505
Fax
(573) 481-0518
NPI assigned
Aug 12, 2009
Last updated
Aug 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Jane F Pfefferkorn
Title
Ceo
Phone
(573) 481-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

509 Ruth St
Sikeston, MO 63801-2763

Mailing address

PO Box 1858
Sikeston, MO 63801-1858
Phone (573) 481-0505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1578795472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1858",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638011858",
            "telephone_number": "573-481-0505",
            "fax_number": "573-481-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 RUTH ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012763",
            "telephone_number": "573-481-0505",
            "fax_number": "573-481-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "PFEFFERKORN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-481-0505"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.