Organization 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
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MO PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
592144505MedicaidMS

Other names 1

  • Higginsville Rural Health Clinic Doing business as

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.

Verify at the official NPI Registry.