Agape Primary Care Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

109959 Issued in MO

Legal business name

AGAPE PRIMARY CARE INC

Practice address

2331 S Business Highway 65
Hollister, MO 65672-5105

Phone

(417) 339-3033

Fax

(417) 339-9133

NPI assigned

Apr 19, 2007

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. R Randall Sukman, M.D.NPI 1548365448

Title

Owner

Phone

(417) 339-3033

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• R Randall Sukman, M.D.

  • Internal Medicine Physician
  • Hollister, MO
  • NPI 1548365448
  Authorized official Same address or phone
• Sheila Louise Wyman, FNP

  • Family Nurse Practitioner
  • Forsyth, MO
  • NPI 1215154398
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1861619025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 S BUSINESS HIGHWAY 65",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725105",
            "telephone_number": "417-339-3033",
            "fax_number": "417-339-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 S BUSINESS HIGHWAY 65",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725105",
            "telephone_number": "417-339-3033",
            "fax_number": "417-339-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "SUKMAN",
        "authorized_official_first_name": "R RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-339-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "109959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598529105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Acute Solutions LLC (Everwell Family Clinic)
• Advocates for a Healthy Community Inc (Jordan Valley Community Health Center)
• Advocates for a Healthy Community, Inc (Jordan Valley Community Health Center)
• Advocates for a Healthy Community, Inc (Jordan Valley Community Health Center)
• Lori Ann Appleman-Eck, MSW, LCSW
• Lanae Danielle Beasley
• Jonathan Chase Britton, HIS, MBA
• Donna Gay Brown
• Bryce Gabriel Burtless, NP

• Rural Health Clinic/Center in Hollister, MO
• Providers in Hollister, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.