Organization Active NPI

Argyle Family Health Clinic, Inc

  • Family Medicine Physician
  • Jefferson City, MO
National Provider Identifier
1629045349
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARGYLE FAMILY HEALTH CLINIC, INC
Practice address
606 E High St
Jefferson City, MO 65101-3279
Phone
(573) 635-3148
Fax
(573) 636-9350
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Kim A Lueckehoff
Title
Office Manager
Phone
(573) 635-3148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MO Primary

Addresses

Primary practice location

606 E High St
Jefferson City, MO 65101-3279

Mailing address

606 E High St
Jefferson City, MO 65101-3279
Phone (573) 635-3148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100603000807 MO Part B Supplier - Clinic/Group Practice 2567591324 Receives reassigned benefits from 1 practitioner
Practice locations: Westphalia, MO; Jefferson City, MO; Vienna, MO; Argyle, MO; Mokane, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0714867Argyle Family Health Clinic606 E High, Jefferson City, MO 65101Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

229 Karen Dr
Holts Summit, MO 65043
Phone (573) 896-8567

606 E High St
Jefferson Cty, MO 65101
Phone (573) 635-2211

Practitioners & affiliated clinicians

Practitioners 1

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": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629045349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E HIGH ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013279",
            "telephone_number": "573-635-3148",
            "fax_number": "573-636-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E HIGH ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013279",
            "telephone_number": "573-635-3148",
            "fax_number": "573-636-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARGYLE FAMILY HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LUECKEHOFF",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-635-3148",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.