Plunkett Family Care Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R3284 Issued in MO

Legal business name

PLUNKETT FAMILY CARE CENTER LLC

Practice address

2480 Three Rivers Blvd
Poplar Bluff, MO 63901-2318

Phone

(573) 686-5564

Fax

(573) 686-2838

NPI assigned

Nov 29, 2007

Organization subpart

Yes

Parent organization

PLUNKETT FAMILY CARE CENTER LLCAs reported in NPPES

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

Authorized official

Name

Kathy A Haas

Title

Office Manager

Phone

(573) 686-5564

Specialties & licenses 4

Addresses

Other identifiers 1

Part of

Plunkett Family Care Center

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.

• Plunkett Family Care Center LLC

  • Rural Health Clinic/Center
  • Poplar Bluff, MO
  • NPI 1447256987
  NPPES parent name

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1922280189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 THREE RIVERS BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012318",
            "telephone_number": "573-686-5564",
            "fax_number": "573-686-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 THREE RIVERS BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012318",
            "telephone_number": "573-686-5564",
            "fax_number": "573-686-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUNKETT FAMILY CARE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLUNKETT FAMILY CARE CENTER LLC",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-686-5564"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R3284",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "R3284",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "143295",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "089729",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA1473",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Piland, R.N.C.S.F.N.P.
• Donald S Piland, M.D.
• Samantha Pindur, PLPC
• Emilda Lily Pinto, O.T.
• Plunkett Family Care Center LLC
• Pogues Enhanced Living
• Megan Victoria Pold, DPT
• Sherri M Ponder
• Velmathy Ponnambalam, MD
• Poplar Bluff Cancer & Radiation Specialist LLC

• Primary Care Clinic/Center in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.