HCC Network
Organization Active NPI Federally Qualified Health Center (FQHC) · Independence, MO
NPI 1760150817 · NPPES record last updated Sep 2, 2025
Key facts
- NPI
- 1760150817
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HCC NETWORK
- 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
- Organization subpart
- No
Authorized official
- Name
- Toniann Richard
- Title
- Chief Executive Officer
- Phone
- (816) 807-7774
Owners & managing parties with NPI records 5
Owned or controlled facilities with NPI records 4
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 4
Facilities with the same owner 4
Practitioners 18
-
Mark Roy Bagby, DDS
-
London Bales, DMD
-
Jacklynn M Burk, MSN, FPMHNP
-
Erica Collins, LCSW
-
William Enochs, MD
-
Chelsea E Neel, MSN, FPMHNP
-
Rachael M Parker, DMD
-
Drew D Shoemaker, M.D.
-
Debra Lorene Stedem, FNP-BC
-
Samuel M Temesgen, M.D.
-
Ambria Michelle Wimsatt, LCSW
-
Dana Zinn, FNP-C
-
Hunter Dietrich Rolf, DDS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
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 · Non-profit
- Incorporated
- Sep 1, 2006 in MO
- Enrollment address
- 17611 E US Highway 24
Ste HCC
Independence, MO 64056-1853
All disclosed owners & managing parties 15
| 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 |
All facility ownership & control disclosures 4
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131030001256 | MO | Part B Supplier - Clinic/Group Practice | 6800034679 |
Receives reassigned benefits from 20 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Buckner, MO; Carrollton, MO; Concordia, MO; Independence, MO; Lexington, MO; Waverly, MO |
| O20220121001705 | MO | Part a Provider - Federally Qualified Health Center (FQHC) | 6800034679 | Practice locations: Independence, MO |
National Provider Directory
- Tax ID family
- HCC Network
Locations
300 E 9th St
Carrollton, MO 64633
17611 E US Highway 24
Independence, MO 64056
Phone (816) 836-6350
819 S Business Highway 13
Lexington, MO 64067
Phone (660) 259-2440
607 S 3rd St
#O
Odessa, MO 64076
607 S 3rd St
Odessa, MO 64076
Phone (816) 633-5334
100 Kirkham St
#O
Orrick, MO 64077
100 Kirkham St
Orrick, MO 64077
Phone (816) 770-3327
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
17611 E US Highway 24
Ste HCC
Independence, MO 64056-1853
Mailing address
825 S Business Highway 13
Lexington, MO 64067-1515
Phone (660) 259-2440
Other names
- Live Well Community Health Center Independence
Other providers in Independence, MO
- Nakisha Hawkins
- Megan Haxmeier
- Heather M Hayes
- Jordan Victoria Hayes
- Anna Maria Haynes
- Healing Our Trauma, LLC
- Healing Well Chiropractic Lee'S Summit LLC
- Healn Heart Home Healthcare Inc
- Healn Hearts Home Healthcare Inc
- Health Impact Partners
All providers in Independence, MO · Federally Qualified Health Center (FQHC) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.