Audrain Health Care, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

AUDRAIN HEALTH CARE, INC.

Doing business as

Centralia Medical Clinic

Practice address

110 W Sneed St
Centralia, MO 65240-1375

Phone

(573) 682-1330

Fax

(573) 682-1936

NPI assigned

Aug 5, 2006

Last updated

Feb 15, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

AUDRAIN HEALTH CARE, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David A. Neuendorf

Title

President/Ceo

Phone

(573) 582-8108

Specialties & licenses 1

Addresses

Other names 1

• Centralia Medical Clinic Doing business as

Part of

Rusty Spieler MD

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Audrain Health Care, Inc

  dba Audrain Medical Center

  • Land Ambulance
  • Mexico, MO
  • NPI 1811030851
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1912916248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SNEED ST",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401375",
            "telephone_number": "573-682-1330",
            "fax_number": "573-682-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SNEED ST",
            "city": "CENTRALIA",
            "state": "MO",
            "postal_code": "652401375",
            "telephone_number": "573-682-1330",
            "fax_number": "573-682-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDRAIN HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUDRAIN HEALTH CARE, INC.",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "NEUENDORF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "573-582-8108"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centralia Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Centralia, MO
• Providers in Centralia, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.