Active NPI
Family Practice Associates of West Central Mo PC
Doing business as Higginsville Rural Health Clinic
- Rural Health Clinic/Center
- Higginsville, MO
National Provider Identifier
1902984941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MO PC
- Doing business as
- Higginsville Rural Health Clinic
- Practice address
- 1200 W 22ND St
Higginsville, MO 64037-1420 - Phone
- (660) 584-7751
- Fax
- (660) 584-8261
- NPI assigned
- Nov 1, 2006
- Last updated
- Jun 20, 2008
- Organization subpart
- Yes
- Parent organization
- FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MO PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah M. Skwarlo
- Title
- Practice Administrator
- Phone
- (660) 584-2820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
1200 W 22ND St
Higginsville, MO 64037-1420
Mailing address
1200 W 22ND St
Higginsville, MO 64037-1420
Phone (660) 584-7751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592144505 | Medicaid | MS |
Other names 1
- Higginsville Rural Health Clinic
National Provider Directory
National Provider Directory- Part of
- Family Practice Associa
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1902984941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W 22ND ST",
"city": "HIGGINSVILLE",
"state": "MO",
"postal_code": "640371420",
"telephone_number": "660-584-7751",
"fax_number": "660-584-8261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W 22ND ST",
"city": "HIGGINSVILLE",
"state": "MO",
"postal_code": "640371420",
"telephone_number": "660-584-7751",
"fax_number": "660-584-8261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MO PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MO PC",
"enumeration_date": "2006-11-01",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "SKWARLO",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "660-584-2820"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "592144505",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Higginsville Rural Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Higginsville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.