Active NPI
Argyle Family Health Clinic, Inc
- Family Medicine Physician
- Jefferson City, MO
National Provider Identifier
1629045349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0714867 | Argyle Family Health Clinic | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Jefferson City, MO
- NPI 1073517900
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.