Organization Active NPI

Raymond H. Wilbers, Inc

Doing business as Wilbers Family Care Clinic

  • Preferred Provider Organization
  • Montgomery City, MO
National Provider Identifier
1881765105
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
102389 Issued in MO
Legal business name
RAYMOND H. WILBERS, INC
Doing business as
Wilbers Family Care Clinic
Practice address
111 E 1St St
Montgomery City, MO 63361-2550
Phone
(573) 564-3214
Fax
(573) 564-3216
NPI assigned
Nov 10, 2006
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Londa Y Swoboda, FNP,BSN,MSNNPI 1851567762
Title
FNP
Phone
(573) 564-3214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 102389 MO Primary

Addresses

Primary practice location

111 E 1St St
Montgomery City, MO 63361-2550

Mailing address

111 E 1St St
Montgomery City, MO 63361-2550
Phone (573) 564-3214

Other names 1

  • Wilbers Family Care Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1881765105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 1ST ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633612550",
            "telephone_number": "573-564-3214",
            "fax_number": "573-564-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 1ST ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633612550",
            "telephone_number": "573-564-3214",
            "fax_number": "573-564-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND H. WILBERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "SWOBODA",
        "authorized_official_first_name": "LONDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "573-564-3214",
        "authorized_official_credential": "FNP,BSN,MSN"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "102389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilbers Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.