Organization Active NPI

Family Practice Associates of West Central Missouri, PC

Doing business as Warrensburg Rural Health Clinic

  • Rural Health Clinic/Center
  • Warrensburg, MO
National Provider Identifier
1912089160
Registry record updated Jul 8, 2014
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 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, 2014By 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 Jul 8, 2014

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.NPI 1417915372
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
596851105MedicaidMO

Other names 1

  • Warrensburg Rural Health Clinic Doing business as

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.

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

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.

Verify at the official NPI Registry.