Sikeston Urgent Care PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

268920 Issued in MO

Legal business name

SIKESTON URGENT CARE PC

Doing business as

SIKESTON URGENT CARE

Practice address

918 S Kingshighway St
Sikeston, MO 63801-4416

Phone

(573) 471-8500

Fax

(573) 471-8501

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Alywin Kluttz, M.D.NPI 1538165063

Title

Owner

Phone

(573) 471-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SIKESTON URGENT CARE Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alywin E Kluttz, M.D.

  • Family Medicine Physician
  • Lebanon, MO
  • NPI 1538165063
  NPD (past) Authorized official
• Leslie Susanne Winchester, D.C.

  • Chiropractor
  • Sikeston, MO
  • NPI 1922187954
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1871598391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 S KINGSHIGHWAY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014416",
            "telephone_number": "573-471-8500",
            "fax_number": "573-471-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 S KINGSHIGHWAY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014416",
            "telephone_number": "573-471-8500",
            "fax_number": "573-471-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIKESTON URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "KLUTTZ",
        "authorized_official_first_name": "ALYWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-471-8500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "268920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598319606",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIKESTON URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sikeston Pharmacy LLC
• Sikeston R6 School District
• Sikeston Rehab, LLC
• Sikeston Rural Health Center LLC
• Sikeston Surgical Specialist, LLC
• Karen L Silverthorn, CRNA
• Allison Sindle, MD
• Tricia Sindle, PT, DPT
• Raymond Earl Sisk
• Smith Street Medical Clinic

• Rural Health Clinic/Center in Sikeston, MO
• Providers in Sikeston, 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 Aug 28, 2008; 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.