HCC of Carroll County LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HCC OF CARROLL COUNTY LLC

Practice address

1502 N Jefferson St
Carrollton, MO 64633-1948

Phone

(660) 542-1695

NPI assigned

Mar 9, 2020

Last updated

Mar 18, 2021By 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

Carrie O'Brien

Title

Cfo

Phone

(972) 978-3730

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hospital Care Consultants, Inc

  • Emergency Medicine Physician
  • McAlester, OK
  • NPI 1912945635

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1649805763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17304 PRESTON RD STE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525633",
            "telephone_number": "866-931-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N JEFFERSON ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331948",
            "telephone_number": "660-542-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCC OF CARROLL COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-978-3730"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Mitchell Germann, ASSISTANT DIRECTOR C
• Triniti Gibson, COTA/L
• Justin William Grider, P.T.
• Madeline Marie Grider, P.T.
• HCC Network
• Amber Renee Hendrix, FNP
• Andrew Douglas Horine, D.O.
• Tiffany M Horst
• Gregory William Hubbard, D.O.
• Angela Imgarten, D.C.

• Internal Medicine Physician in Carrollton, MO
• Providers in Carrollton, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.