Active NPI
Hawkins Compassionate Care Clinic LLC
- Point of Service
- Troy, MO
National Provider Identifier
1780053470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- F1007042
- Legal business name
- HAWKINS COMPASSIONATE CARE CLINIC LLC
- Practice address
- 107B N Lincoln Dr
Troy, MO 63379-1315 - Phone
- (636) 775-2479
- Fax
- (636) 775-2480
- NPI assigned
- Sep 23, 2015
- Last updated
- Sep 23, 2015
- 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
- Mrs. Christy Marie Hawkins, RN/FNP-C
- Title
- Owner/Provider
- Phone
- (636) 775-2479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | F1007042 | MO | Primary |
Addresses
Primary practice location
107B N Lincoln Dr
Troy, MO 63379-1315
Mailing address
107B N Lincoln Dr
Troy, MO 63379-1315
Phone (636) 775-2479
Other names 1
- HCCC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442966400000",
"number": "1780053470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107B N LINCOLN DR",
"city": "TROY",
"state": "MO",
"postal_code": "633791315",
"telephone_number": "636-775-2479",
"fax_number": "636-775-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107B N LINCOLN DR",
"city": "TROY",
"state": "MO",
"postal_code": "633791315",
"telephone_number": "636-775-2479",
"fax_number": "636-775-2480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWKINS COMPASSIONATE CARE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "636-775-2479",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN/FNP-C"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "MO",
"license": "F1007042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HCCC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.