Active NPI
Family Practice Associates of West Central Missouri, PC
Doing business as Warrensburg Rural Health Clinic
- Rural Health Clinic/Center
- Warrensburg, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MISSOURI, PC
- Doing business as
- Warrensburg Rural Health Clinic
- Practice address
- 513 Burkarth Rd
Warrensburg, MO 64093-3103 - Phone
- (660) 747-7751
- Fax
- (660) 747-8398
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 8, 2014
- 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
- Dr. David V Pulliam, D.O.
- Title
- Officer
- Phone
- (660) 584-7751
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
513 Burkarth Rd
Warrensburg, MO 64093-3103
Mailing address
513 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-7750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 596851105 | Medicaid | MO |
Other names 1
- Warrensburg Rural Health Clinic
National Provider Directory
National Provider Directory- Part of
- Family Practice Associa
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.
-
- Family Medicine Physician
- Higginsville, MO
- NPI 1417915372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404777600000",
"number": "1912089160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 BURKARTH RD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640933103",
"telephone_number": "660-747-7750",
"fax_number": "660-747-8398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 BURKARTH RD",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640933103",
"telephone_number": "660-747-7751",
"fax_number": "660-747-8398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MISSOURI, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MO PC",
"enumeration_date": "2006-10-19",
"last_updated": "2014-07-08",
"status": "A",
"authorized_official_last_name": "PULLIAM",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "660-584-7751",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596851105",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Warrensburg Rural Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warrensburg, MO
- Kaitlyn Paige Ewing
- Expanding Horizons Community Services LLC
- Eye Surgery Center of Warrensburg Inc
- Eyecare Specialties of Missouri LLC (Eyecare Specialites)
- Family Practice Associates of West Central Missouri, PC
- Lori Charleen Faust, CPTA
- Alan J. Ferber, M.D.
- Finnane Robison Dental LLC
- Elizabeth A Finnane, DDS
- Cassandra Micheale Fisher
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.