NPIMap

Organization Active NPI

Rural Alliance for Better Family Health

Doing business as Oregon County Community Health Center

  • General Practice Dentistry
  • Thayer, MO
National Provider Identifier
1730414178
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RURAL ALLIANCE FOR BETTER FAMILY HEALTH
Doing business as
Oregon County Community Health Center
Southern Missouri Community Health Center
Practice address
9394 US 63
Thayer, MO 65791-9448
Phone
(417) 264-2990
Fax
(417) 264-2993
NPI assigned
Oct 2, 2009
Last updated
May 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
RURAL ALLIANCE FOR BETTER FAMILY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Bryan Adcock
Title
Ceo
Phone
(417) 264-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

9394 US 63
Thayer, MO 65791-9448

Mailing address

1137 Independence Dr
West Plains, MO 65775-4221
Phone (417) 255-8464

Other names 2

  • Oregon County Community Health Center Doing business as
  • Southern Missouri Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316001026 MO Part B Supplier - Clinic/Group Practice 6103734058 Receives reassigned benefits from 12 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Thayer, MO; West Plains, MO

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Rural Alliance for Better5 organizations share this tax ID, including this one
Part of
Rural Alliance for Better

Other organizations with this tax ID 4

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

Locations

9394 US 63
Thayer, MO 65791
Phone (417) 264-2990

1115 Independence Dr
West Plains, MO 65775
Phone (417) 225-8464

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1730414178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 INDEPENDENCE DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754221",
            "telephone_number": "417-255-8464",
            "fax_number": "417-255-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9394 US 63",
            "city": "THAYER",
            "state": "MO",
            "postal_code": "657919448",
            "telephone_number": "417-264-2990",
            "fax_number": "417-264-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL ALLIANCE FOR BETTER FAMILY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RURAL ALLIANCE FOR BETTER FAMILY HEALTH",
        "enumeration_date": "2009-10-02",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "ADCOCK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-264-2990"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon County Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Missouri Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thayer, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.