NEVADA MEDICAL CLINIC L.L.C. (NPI# 1104821867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104821867 |
| Entity Type | Organization |
| Organization Name | NEVADA MEDICAL CLINIC L.L.C. |
| Practice Address |
900 S Adams St Nevada MO 64772-3210 |
| Practice Telephone | 4176676015 |
| Practice Fax Number | 4176674234 |
| Mailing Telephone | 4176676015 |
| Mailing Fax Number | 4176674234 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2014-05-06 |
| Authorized Official Name | MR. JAMES D HARMS (ADMINISTRATOR) |
| Authorized Official Telephone | 4176676015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ========= | MO | Allopathic & Osteopathic Physicians |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 595219007 | 05 | |
| MO | 500921101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770948119 | Nevada Medical Clinic L.L.C. | Clinic/Center | 900 S Adams St, Nevada, MO 64772-3210 | 2015-12-30 |
| Street Address |
900 S ADAMS ST |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359825 | Summers Pharmacy of Nevada LLC | Pharmacy | 900 S Adams St, Nevada, MO 64772-3210 | 2019-01-11 |
| 1063909711 | Caitlin Anne Elmore | General Practice | 900 S Adams St, Nevada, MO 64772-3210 | 2018-04-18 |
| 1770948119 | Nevada Medical Clinic L.L.C. | Clinic/Center | 900 S Adams St, Nevada, MO 64772-3210 | 2015-12-30 |
| 1528437936 | Katherine M Williams | Nurse Practitioner | 900 S Adams St, Nevada, MO 64772-3210 | 2015-09-16 |
| 1609298090 | Kelly Mclemore | Nurse Practitioner | 900 S Adams St, Nevada, MO 64772-3210 | 2014-01-20 |
| 1740553395 | Lori Bartlett | Pharmacist | 900 S Adams St, Nevada, MO 64772-3210 | 2012-02-13 |
| 1982987343 | Sarah Elaine Dodson | Pharmacist | 900 S Adams St, Nevada, MO 64772-3210 | 2011-09-22 |
| 1972753648 | Sherri Eador | Nurse Practitioner | 900 S Adams St, Nevada, MO 64772-3210 | 2008-09-30 |
| 1528222460 | Ryan Harrison | Family Medicine | 900 S Adams St, Nevada Medical Clinic, LLC, Nevada, MO 64772-3210 | 2008-07-10 |
| 1184740003 | Community Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 900 S Adams St, Nevada, MO 64772-3210 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| Find all providers in zip 64772 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| 1508390352 | Story County Hospital | Clinic/Center | 640 S 19th St Ste 100, Nevada, IA 50201-2902 | 2017-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 1831515907 | Marble Hill Medical Clinic, LLC | Clinic/Center | 307 Broadway St., Marble Hill, MO 63764-8321 | 2014-03-12 |
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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.