Organization Active NPI

White Oak Medical, Inc

  • Rural Health Clinic/Center
  • Cassville, MO
National Provider Identifier
1962415828
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
263872 Issued in MO
Legal business name
WHITE OAK MEDICAL, INC
Practice address
HC 81 Box 8021
Cassville, MO 65625-8102
Phone
(417) 847-5800
Fax
(417) 847-5804
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Daisy R McBee
Title
Clinic Administrator
Phone
(417) 294-2279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 263872 MO Primary

Addresses

Primary practice location

HC 81 Box 8021
Cassville, MO 65625-8102

Mailing address

PO Box 2032
Branson West, MO 65737-2032
Phone (417) 294-2279

Other identifiers 1

IdentifierTypeStateIssuer
598857001MedicaidMO

National Provider Directory

National Provider Directory

Locations

472 State Highway 76
Cassville, MO 65625
Phone (417) 847-5800

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1962415828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2032",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657372032",
            "telephone_number": "417-294-2279",
            "fax_number": "417-723-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 81 BOX 8021",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656258102",
            "telephone_number": "417-847-5800",
            "fax_number": "417-847-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "MCBEE",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "417-294-2279"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "263872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598857001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.