Shepherd'S View, Inc.
Organization Active NPI Primary Care Clinic/Center · Alton, MO
NPI 1891739033 · NPPES record last updated Jul 11, 2016
Key facts
- NPI
- 1891739033
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 030781 (MO)
- Legal business name
- SHEPHERD'S VIEW, INC.
- Practice address
- 100 Shepherds Lane
Alton, MO 65606 - Phone
- (417) 778-7959
- Fax
- (417) 778-1849
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Beckie Dawn Combs
- Title
- President
- Phone
- (417) 778-7959
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 030781 | MO | Yes |
Addresses
Primary practice location
100 Shepherds Lane
Alton, MO 65606
Mailing address
100 Shepherds Lane
PO Box 429
Alton, MO 65606
Phone (417) 778-7959
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265179200 | Medicaid | MO |
Other names
- Shepherd's View Assisted Living
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All providers in Alton, MO · Primary Care Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.