CLINTON NO 1 INC (NPI# 1033141015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033141015 |
| Entity Type | Organization |
| Organization Name | CLINTON NO 1 INC |
| Practice Address |
1009 E Ohio St Clinton MO 64735-2455 |
| Mailing Address |
Po Box 1210 Sikeston MO 63801-1210 |
| Practice Telephone | 6608855571 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-03-05 |
| Authorized Official Name | MR. DONALD B BEDELL (PRESIDENT) |
| Authorized Official Telephone | 5734711276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 046098 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 101482602 | 05 |
| Street Address |
1009 E OHIO ST |
| City | CLINTON |
| State | MO |
| Zip Code | 64735-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
| 1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
| 1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
| 1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
| 1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
| 1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
| 1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
| Find all providers in zip 64735 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1578927588 | Pineview Extended Care Centre, Inc. | Skilled Nursing Facility | 9016 Pine View Lane, Clinton, MD 20735-3229 | 2016-04-06 |
| 1225295710 | State of Oklahoma | Skilled Nursing Facility | 1701 South 4th, Clinton, OK 73601-1209 | 2008-05-21 |
| 1548465891 | Presbyterian Communities of South Carolina | Skilled Nursing Facility | 801 Musgrove St, Clinton, SC 29325-1752 | 2007-06-18 |
| 1265575641 | Liberty Healthcare Group LLC | Skilled Nursing Facility | 120 Southwood Dr, Clinton, NC 28328-5002 | 2007-02-15 |
| 1477616183 | Arbor Place of Clinton Inc | Skilled Nursing Facility | 106 Padgett Dr, Clinton, KY 42031-1313 | 2006-12-18 |
| 1922172113 | United Methodist Retirement & Health Care Center, Inc. | Skilled Nursing Facility | 2316 W Modelle Ave, Clinton, OK 73601-3722 | 2006-11-20 |
| 1942372511 | Witham Memorial Hospital | Skilled Nursing Facility | 1705 S Main St, Clinton, IN 47842-2524 | 2006-11-15 |
| 1568567113 | Clinton Nursing Center, LLC | Skilled Nursing Facility | 2400 W Modelle Ave, Clinton, OK 73601-3724 | 2006-09-14 |
| 1962440636 | Nhc Healthcare-clinton LLC | Skilled Nursing Facility | 304 Jacobs Hwy, Clinton, SC 29325-7279 | 2006-06-03 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.