NPIMap

Organization Active NPI

St. Clair County Hospital District #L

Doing business as Tri-County Clinic

  • Durable Medical Equipment & Medical Supplies
  • Osceola, MO
National Provider Identifier
1760501647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ST. CLAIR COUNTY HOSPITAL DISTRICT #L
Doing business as
Tri-County Clinic
Practice address
855 Arduser Dr
Osceola, MO 64776-6278
Phone
(417) 646-8153
Fax
(417) 646-8515
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alma F Rodabaugh
Title
Business Office Manager
Phone
(417) 646-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

855 Arduser Dr
Osceola, MO 64776-6278

Mailing address

700 Giesler Rd
P. O. Box 426
Osceola, MO 64776-6279
Phone (417) 646-8181

Other names 1

  • Tri-County Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sac-Osage Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760501647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GIESLER RD",
            "address_2": "P. O. BOX 426",
            "city": "OSCEOLA",
            "state": "MO",
            "postal_code": "647766279",
            "telephone_number": "417-646-8181",
            "fax_number": "417-646-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ARDUSER DR",
            "city": "OSCEOLA",
            "state": "MO",
            "postal_code": "647766278",
            "telephone_number": "417-646-8153",
            "fax_number": "417-646-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLAIR COUNTY HOSPITAL DISTRICT #L",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODABAUGH",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "417-646-8181"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osceola, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.