NPIMap

Organization Active NPI

Managed Care Inc

  • Rural Health Clinic/Center
  • Sikeston, MO
National Provider Identifier
1760500862
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MANAGED CARE INC
Practice address
808 Hunter
Suite 4
Sikeston, MO 63801-2248
Phone
(573) 471-2905
NPI assigned
Mar 27, 2007
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Donald B Bedell
Title
President
Phone
(573) 471-1276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

808 Hunter
Suite 4
Sikeston, MO 63801-2248

Mailing address

PO Box 1210
Sikeston, MO 63801-1210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040302001107 MO Part B Supplier - Clinic/Group Practice 1951298157 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sikeston, MO
O20070517000545 MO Part A Provider - Rural Health Clinic 1951298157 Practice locations: Sikeston, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760500862. Details of each certification follow.

Rural health clinic certification: CCN 268965

Legal name
MANAGED CARE INC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 5, 2007
Last certification
Oct 23, 2020
Ownership / control type
2B
Organization structure
CorporationProprietary
Incorporated
Mar 25, 1994 in MO
Enrollment address
808 Hunter Ave
Suite 4
Sikeston, MO 63801-2248

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

609 N Middle St
Cape Girardeau, MO 63701
Phone (573) 290-5860

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Circle B Enterprises Holding Company Inc Organization, Sikeston, MO Holding company 5% Or Greater Direct Ownership Interest Mar 25, 1994 100%
Todd Beaird Individual Corporate OfficerSecretary Jan 1, 2022
Donald B Bedell Individual Corporate OfficerPresident Jan 6, 1997
Corporate DirectorPresident Mar 25, 1994
Melinda G Lambert Individual W-2 Managing EmployeeAdministrator Mar 25, 1994

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1760500862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638011210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HUNTER",
            "address_2": "SUITE 4",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012248",
            "telephone_number": "573-471-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-471-1276"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.