NPIMap

Organization Active NPI

Massey Family Care LLC

  • Rural Health Clinic/Center
  • Kennett, MO
National Provider Identifier
1922070903
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MASSEY FAMILY CARE LLC
Practice address
304 Teaco Rd
Ste B
Kennett, MO 63857
Phone
(573) 888-6100
Fax
(573) 888-6184
NPI assigned
Feb 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Mina Kay Massey, MDNPI 1578557872
Title
MD Owner
Phone
(573) 888-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

304 Teaco Rd
Ste B
Kennett, MO 63857

Mailing address

304 Teaco Rd
Ste B
Kennett, MO 63857
Phone (573) 888-6100

National Provider Directory

National Provider Directory

Locations

304 Teaco Rd
#B
Kennett, MO 63857
Phone (573) 888-6100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1922070903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TEACO RD",
            "address_2": "STE B",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "63857",
            "telephone_number": "573-888-6100",
            "fax_number": "573-888-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TEACO RD",
            "address_2": "STE B",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "63857",
            "telephone_number": "573-888-6100",
            "fax_number": "573-888-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSEY FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "MINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "573-888-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.