Ron McCulley

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

032088 Issued in MO

Legal business name

RON MCCULLEY

Practice address

2520 James St
Scott City, MO 63780-1219

Phone

(573) 264-2424

NPI assigned

Mar 23, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ron McCulley

Title

Administrator

Phone

(573) 264-2424

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1649397779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 JAMES ST",
            "city": "SCOTT CITY",
            "state": "MO",
            "postal_code": "637801219",
            "telephone_number": "573-264-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 JAMES ST",
            "city": "SCOTT CITY",
            "state": "MO",
            "postal_code": "637801219",
            "telephone_number": "573-264-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON MCCULLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MCCULLEY",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-264-2424"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "032088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266796309",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Scott City, MO
• Providers in Scott City, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.