Organization Active NPI

Epoch Health- Springfield, LLC

  • Health Service Clinic/Center
  • Springfield, MO
National Provider Identifier
1952725632
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
EPOCH HEALTH- SPRINGFIELD, LLC
Practice address
4560 S Campbell Ave
Suite 116
Springfield, MO 65810-1720
Phone
(501) 975-1700
NPI assigned
Feb 14, 2014
Last updated
May 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Kris Whitfield
Title
Clinic Manager
Phone
(901) 359-1904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MO Primary

Addresses

Primary practice location

4560 S Campbell Ave
Suite 116
Springfield, MO 65810-1720

Mailing address

4560 S Campbell Ave
Suite 116
Springfield, MO 65810-1720
Phone (417) 888-2025

National Provider Directory

National Provider Directory

Locations

4560 S Campbell Ave
Ste 116
Springfield, MO 65810
Phone (417) 888-2025

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1952725632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 S CAMPBELL AVE",
            "address_2": "SUITE 116",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101720",
            "telephone_number": "417-888-2025",
            "fax_number": "417-888-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 S CAMPBELL AVE",
            "address_2": "SUITE 116",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658101720",
            "telephone_number": "501-975-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH HEALTH- SPRINGFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "WHITFIELD",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "901-359-1904"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.