NPIMap

Organization Active NPI

Hartville Medical Center Inc

  • General Practice Physician
  • Hartville, MO
National Provider Identifier
1609949403
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HARTVILLE MEDICAL CENTER INC
Practice address
275 S School Ave
Hartville, MO 65667
Phone
(417) 741-7484
Fax
(417) 741-7482
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Authorized official

Name
Mr. William E Berner
Title
Clinic Administrator
Phone
(989) 892-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

275 S School Ave
Hartville, MO 65667

Mailing address

275 S School Ave
Hartville, MO 65667-8406
Phone (417) 741-7484

Other identifiers 1

IdentifierTypeStateIssuer
508308202MedicaidMO

National Provider Directory

National Provider Directory

Locations

275 S School Ave
Hartville, MO 65667
Phone (417) 741-7484

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1609949403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 S SCHOOL AVE",
            "city": "HARTVILLE",
            "state": "MO",
            "postal_code": "656678406",
            "telephone_number": "417-741-7484",
            "fax_number": "417-741-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S SCHOOL AVE",
            "city": "HARTVILLE",
            "state": "MO",
            "postal_code": "65667",
            "telephone_number": "417-741-7484",
            "fax_number": "417-741-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTVILLE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "BERNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "989-892-7722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508308202",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.