Active NPI
HCC Network
Doing business as Live Well Community Health Center Independence
- Federally Qualified Health Center (FQHC)
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- HCC NETWORK
- Doing business as
- Live Well Community Health Center Independence
- Practice address
- 17611 E US Highway 24
Ste HCC
Independence, MO 64056-1853 - Phone
- (877) 344-3572
- Fax
- (866) 228-4492
- NPI assigned
- Sep 2, 2021
- Last updated
- Oct 23, 2026
- 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
- Toniann Richard
- Title
- Chief Executive Officer
- Phone
- (816) 807-7774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
17611 E US Highway 24
Ste HCC
Independence, MO 64056-1853
Mailing address
819 S Business Highway 13
Lexington, MO 64067-1515
Phone (660) 259-2440
Other names 1
- Live Well Community Health Center Independence
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1760150817. Details of each certification follow.
Federally qualified health center certification: CCN 791184
- Legal name
- HCC NETWORK
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jan 10, 2022
- Last certification
- Jan 10, 2022
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Sep 1, 2006 in MO
- Enrollment address
- 17611 E US Highway 24
Ste HCC
Independence, MO 64056-1853
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Live Well Community Health Center-Waverly
- Federally Qualified Health Center (FQHC)
- Waverly, MO
- NPI 1174960769
6800034679
-
dba Live Well Community Health Center Buckner
- Federally Qualified Health Center (FQHC)
- Buckner, MO
- NPI 1174992374
6800034679
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
6800034679
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
6800034679
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Live Well Community Health Center-Waverly
- Federally Qualified Health Center (FQHC)
- Waverly, MO
- NPI 1174960769
O20131030001256
-
dba Live Well Community Health Center Buckner
- Federally Qualified Health Center (FQHC)
- Buckner, MO
- NPI 1174992374
O20131030001256
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
O20131030001256
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
O20131030001256
National Provider Directory
National Provider Directory- Tax ID family
- HCC Network
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Live Well Community Health Center Buckner
- Federally Qualified Health Center (FQHC)
- Buckner, MO
- NPI 1174992374
-
- Federally Qualified Health Center (FQHC)
- Carrollton, MO
- NPI 1255114559
-
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1275437436
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
Locations
1413 N Jefferson St
Carrollton, MO 64633
Phone (660) 259-2440
300 E 9th St
Carrollton, MO 64633
718 Harvest Hills Dr
Carrollton, MO 64633
206 N Bismark St
Ste A
Concordia, MO 64020
Phone (660) 463-0234
17611 E US Highway 24
Ste Hcc
Independence, MO 64056
607 S 3rd St
Odessa, MO 64076
Phone (816) 533-5334
607 S 3rd St
#O
Odessa, MO 64076
100 Kirkham St
Orrick, MO 64077
Phone (816) 770-3327
100 Kirkham St
#O
Orrick, MO 64077
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Julie a Pratt | Corporate Officer | Aug 27, 2019 | |
| Amanda Arnold | Operational/Managerial Control | Sep 1, 2021 | |
| Linda Crowell | Corporate Officer | Apr 24, 2019 | |
| Brook Balentine | Operational/Managerial Control | Sep 1, 2021 | |
| Jami Benson | Corporate Officer | Mar 24, 2020 | |
| Stephen Munson | Corporate Officer | Mar 24, 2020 | |
| Lori Wyse | Operational/Managerial Control | Sep 1, 2021 | |
| Breann Jensen | Corporate Officer | Feb 22, 2022 | |
| Marsha Corbin | Corporate Officer | Jul 1, 2013 | |
| Janice Putnam | Corporate Officer | Feb 26, 2019 | |
| HCC Network | 5% Or Greater Direct Ownership Interest | Sep 1, 2021 | 100% |
| Holly Mefferd | Corporate Officer | Jul 1, 2013 | |
| Toniann Richard | Corporate Officer | Sep 1, 2021 | |
| Corporate Director | Sep 1, 2021 | ||
| W-2 Managing Employee | Sep 1, 2021 | ||
| Operational/Managerial Control | Sep 1, 2021 | ||
| Sarrah Morgan | Corporate Officer | Oct 22, 2019 | |
| Suzanne Gladney | Corporate Officer | Jul 1, 2013 |
Owners & managing parties with NPI records 5
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Live Well Community Health Center-Waverly
- Federally Qualified Health Center (FQHC)
- Waverly, MO
- NPI 1174960769
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center Buckner
- Federally Qualified Health Center (FQHC)
- Buckner, MO
- NPI 1174992374
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Carrollton, MO
- NPI 1255114559
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 4
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| HCC Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2014 |
| HCC Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2013 |
| HCC Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Sep 18, 2015 |
| HCC Network | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 15, 2020 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Live Well Community Health Center-Waverly
- Federally Qualified Health Center (FQHC)
- Waverly, MO
- NPI 1174960769
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center Buckner
- Federally Qualified Health Center (FQHC)
- Buckner, MO
- NPI 1174992374
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
5% Or Greater Direct Ownership Interest
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
5% Or Greater Direct Ownership Interest
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Live Well Community Health Center-Waverly
- Federally Qualified Health Center (FQHC)
- Waverly, MO
- NPI 1174960769
HCC Network
-
dba Live Well Community Health Center Buckner
- Federally Qualified Health Center (FQHC)
- Buckner, MO
- NPI 1174992374
HCC Network
-
dba Live Well Community Health Center Lexington
- Federally Qualified Health Center (FQHC)
- Lexington, MO
- NPI 1295356731
HCC Network
-
dba Live Well Community Health Center-Concordia
- Federally Qualified Health Center (FQHC)
- Concordia, MO
- NPI 1992142582
HCC Network
Practitioners & affiliated clinicians
Practitioners 18
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.
-
- General Practice Dentistry
- Lake Ozark, MO
- NPI 1477755775
-
- General Practice Dentistry
- Carrollton, MO
- NPI 1952090789
-
- Psychiatric/Mental Health Nurse Practitioner
- Independence, MO
- NPI 1548916489
-
- Clinical Social Worker
- Concordia, MO
- NPI 1275006793
-
- Psychiatry Physician
- Independence, MO
- NPI 1144617978
-
- Dentist
- Lexington, MO
- NPI 1609663608
-
- Internal Medicine Physician
- Marshall, MO
- NPI 1023004652
-
- Psychiatric/Mental Health Nurse Practitioner
- Independence, MO
- NPI 1144856980
-
- General Practice Dentistry
- Sikeston, MO
- NPI 1760091524
-
- Acute Care Nurse Practitioner
- Lexington, MO
- NPI 1831978766
-
- Family Medicine Physician
- Springfield, MO
- NPI 1851313399
-
- Family Nurse Practitioner
- Carrollton, MO
- NPI 1699088278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792713600000",
"number": "1760150817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 S BUSINESS HIGHWAY 13",
"city": "LEXINGTON",
"state": "MO",
"postal_code": "640671515",
"telephone_number": "660-259-2440",
"fax_number": "660-251-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17611 E US HIGHWAY 24",
"address_2": "STE HCC",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640561853",
"telephone_number": "877-344-3572",
"fax_number": "866-228-4492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HCC NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-02",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "TONIANN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "816-807-7774"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Live Well Community Health Center Independence",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.