NPIMap

Organization Active NPI

Laurie a Beach

Doing business as Pilot Grove Rural Health Clinic

  • Family Medicine Physician
  • Pilot Grove, MO
National Provider Identifier
1669831640
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAURIE A BEACH
Doing business as
Pilot Grove Rural Health Clinic
Practice address
212 College St
Pilot Grove, MO 65276-1005
Phone
(660) 834-5100
Fax
(660) 834-5101
NPI assigned
Feb 18, 2016
Last updated
Feb 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Amelia D Ledbetter
Title
Director of Operations
Phone
(573) 335-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

212 College St
Pilot Grove, MO 65276-1005

Mailing address

212 College St
Pilot Grove, MO 65276-1005
Phone (660) 834-5100

Other names 1

  • Pilot Grove Rural Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laurie a Beach3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1669831640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 COLLEGE ST",
            "city": "PILOT GROVE",
            "state": "MO",
            "postal_code": "652761005",
            "telephone_number": "660-834-5100",
            "fax_number": "660-834-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 COLLEGE ST",
            "city": "PILOT GROVE",
            "state": "MO",
            "postal_code": "652761005",
            "telephone_number": "660-834-5100",
            "fax_number": "660-834-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE A BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "LEDBETTER",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "573-335-4715"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pilot Grove Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pilot Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.