GMT Family Enterprise, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GMT FAMILY ENTERPRISE, INC

Practice address

305 5TH St
Monett, MO 65708-2312

Phone

(417) 772-4028

Fax

(417) 235-5959

NPI assigned

Jan 17, 2019

Last updated

Jan 17, 2019By 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

Jack Dewayne Grigsby

Title

President

Phone

(417) 772-4028

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1699249110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 DAIRY ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082521",
            "telephone_number": "417-772-4028",
            "fax_number": "417-235-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 5TH ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082312",
            "telephone_number": "417-772-4028",
            "fax_number": "417-235-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMT FAMILY ENTERPRISE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "GRIGSBY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-772-4028"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M267903904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Freeland, M.D.
• Kelly Frey, PLPC
• Phoebe G Fullen
• Jessica Gilkey, RD, LD/N
• Michael Paul Glouse, DDS
• Sierra Golubski
• William W. Goodman III, MD
• Patrick Gorman, PLPC
• Jessica Graff, FNP-C
• Helen Hansen, PLPC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Monett, MO
• Providers in Monett, MO by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.