Active NPI
Gamma Healthcare Inc
- Clinical Medical Laboratory
- Poplar Bluff, MO
National Provider Identifier
1740361690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- GAMMA HEALTHCARE INC
- Practice address
- 1717 W Maud St
Poplar Bluff, MO 63901-4003 - Phone
- (573) 727-5600
- Fax
- (573) 785-0753
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry W Murphy
- Title
- Chairman & Ceo
- Phone
- (573) 727-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1717 W Maud St
Poplar Bluff, MO 63901-4003
Mailing address
1717 W Maud St
Poplar Bluff, MO 63901-4003
Phone (573) 727-5600
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01785013 | Medicaid | MS | |
| 431247740LAB | Other | PREMIER PLUS BENEFITS | |
| 690009308 | Other | MO | MEDICARE RAILROAD |
| 2458112 | Other | MO | UHC MEDICARE COMPLETE |
| 2458112 | Other | MO | UNITED HEALTHCARE |
| 406690419 | Other | TN | MEDICARE RAILROAD |
| 157554 | Other | MO | BLUE CROSS OF MISSOURI |
| 470766 | Other | MO | HEALTHLINK |
| 701734105 | Medicaid | MO | |
| 1740361690 | Other | MERCY | |
| 000014651 | Other | ARKANSAS COMMUNITY CARE | |
| 200386900A | Medicaid | KS | |
| 1740361690 | Other | GHP/ COVENTRY | |
| 1740361690 | Other | FIRST HEALTH | |
| 113580 | Medicaid | AL | |
| 159997709 | Medicaid | AR | |
| 18127 | Other | AR | BLUE CROSS BLUE SHEILD OF ARKANSAS |
National Provider Directory
National Provider DirectoryLocations
1717 W Maud St
Poplar Bluff, MO 63901
Phone (573) 727-5600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Gould, AR
- NPI 1699245985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1740361690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 W MAUD ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639014003",
"telephone_number": "573-727-5600",
"fax_number": "573-785-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W MAUD ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639014003",
"telephone_number": "573-727-5600",
"fax_number": "573-785-0753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAMMA HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CHAIRMAN & CEO",
"authorized_official_telephone_number": "573-727-5600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01785013",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER PLUS BENEFITS",
"identifier": "431247740LAB",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "690009308",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MEDICARE COMPLETE",
"identifier": "2458112",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2458112",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "406690419",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MISSOURI",
"identifier": "157554",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "470766",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "701734105",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "1740361690",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS COMMUNITY CARE",
"identifier": "000014651",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200386900A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP/ COVENTRY",
"identifier": "1740361690",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1740361690",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113580",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159997709",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD OF ARKANSAS",
"identifier": "18127",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.