Active NPI
Patients First Health Care LLC
- Internal Medicine Physician
- Sullivan, MO
National Provider Identifier
1649466038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PATIENTS FIRST HEALTH CARE LLC
- Practice address
- 101 Progress Pkwy
Sullivan, MO 63080-2359 - Phone
- (573) 468-3555
- Fax
- (573) 468-3554
- NPI assigned
- Sep 19, 2007
- Last updated
- Oct 20, 2008
- 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
- Michael Rau, M.D.
- Title
- Chairman
- Phone
- (636) 390-1400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
101 Progress Pkwy
Sullivan, MO 63080-2359
Mailing address
901 Patients First Dr
Washington, MO 63090-4700
Phone (636) 390-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 503763401 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224460800000",
"number": "1649466038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DR",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-390-1400",
"fax_number": "636-390-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PROGRESS PKWY",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630802359",
"telephone_number": "573-468-3555",
"fax_number": "573-468-3554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENTS FIRST HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2008-10-20",
"status": "A",
"authorized_official_last_name": "RAU",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "636-390-1400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "503763401",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sullivan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.