NPIMap

Tri-Rivers Family Planning, Inc.

Organization Active NPI Non-Surgical Family Planning Clinic/Center · Rolla, MO

NPI 1710025754 · NPPES record last updated Oct 3, 2011

Key facts

NPI
1710025754
Entity type
Organization (NPI type 2)
Primary specialty
Non-Surgical Family Planning Clinic/Center 261QF0050X
Legal business name
TRI-RIVERS FAMILY PLANNING, INC.
Practice address
1032 Kingshighway St Ste B
Rolla, MO 65401-2921
Phone
(573) 364-1509
Fax
(573) 364-6520
NPI assigned
Feb 2, 2007
Organization subpart
No

Authorized official

Name
Tonia R Stubblefield
Title
President Ceo
Phone
(573) 364-1509

Corporate family (same tax ID) 1

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

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Tri-Rivers Family Planning Inc (2 organizations share this tax ID)

Locations

1032 Kingshighway St
Ste B
Rolla, MO 65401
Phone (573) 364-1509

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X Yes

Addresses

Primary practice location

1032 Kingshighway St Ste B
Rolla, MO 65401-2921

Mailing address

PO Box 359
Rolla, MO 65402-0359
Phone (573) 364-1509

Other identifiers

IdentifierTypeStateIssuer
521801001MedicaidMO

Other names

  • Tri-Rivers Planned Parenthood, Inc. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 3, 2011.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1710025754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654020359",
            "telephone_number": "573-364-1509",
            "fax_number": "573-364-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 KINGSHIGHWAY ST STE B",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012921",
            "telephone_number": "573-364-1509",
            "fax_number": "573-364-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-RIVERS FAMILY PLANNING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "STUBBLEFIELD",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "573-364-1509"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521801001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Rivers Planned Parenthood, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rolla, MO

All providers in Rolla, MO · Non-Surgical Family Planning Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.