OGMC LLC (NPI# 1104916337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104916337 |
| Entity Type | Organization |
| Organization Name | OGMC LLC |
| Practice Address |
1900 S Broadway Oak Grove MN 64075 |
| Mailing Address |
Po Box 670 1900 S Broadway Oak Grove MO 64075 |
| Practice Telephone | 8166906566 |
| Practice Fax Number | 8166258276 |
| Mailing Telephone | 8166906566 |
| Mailing Fax Number | 8166258276 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVE T GIALDE (PARTNER) |
| Authorized Official Telephone | 8166906566 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1900 S BROADWAY |
| City | OAK GROVE |
| State | MN |
| Zip Code | 64075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922104447 | Elaine K Akin | Nurse Practitioner | 1900 S Broadway, Box 670, Oak Grove, MO 64075 | 2006-09-15 |
| 1811293582 | Carondelet Physician Services Inc | Family Medicine | 1900 S Broadway, Oak Grove, MO 64075-9020 | 2011-01-28 |
| 1649376161 | Joyce E Peterson | Nurse Practitioner | 1900 S Broadway, Box 670, Oak Grove, MO 64075 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703863 | Samantha Jo Castlebury | Nurse Practitioner | 302 Se Salem, Oak Grove, MO 64075 | 2018-03-16 |
| 1629524574 | Brandon Notz | Registered Nurse | 509 Se Oak Ridge Dr., Unit A, Oak Grove, MO 64075 | 2016-08-31 |
| 1528468691 | Beacon of Hope Hospice of Missouri, Inc. | Hospice Care, Community Based | 1201c South Broadway, Oak Grove, MO 64075 | 2014-08-26 |
| 1043580194 | Crossroads Behavioral Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1611 Deer Run Rd., Oak Grove, MO 64075 | 2012-01-06 |
| 1861559734 | Patricia Ann Bettels Rhodes | Dentist | 2016 S Broadway, Oak Grove, MO 64075 | 2007-01-02 |
| 1598873911 | Amber Troyer | Optometrist | 201 S Salem, Oak Grove, MO 64075 | 2006-08-26 |
| 1518949031 | John Thomas Haller | Chiropractor | 105 Sw 12th St, Oak Grove, MO 64075-0957 | 2005-11-18 |
| 1033611207 | Thomas John Zlatohlavek | Pharmacist | 400 S Broadway, Oak Grove, MO 64075-6140 | 2018-03-05 |
| 1437435815 | Renie J Craig | Pharmacist | 400 S Broadway, Oak Grove, MO 64075-6140 | 2011-10-28 |
| 1518120146 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 400 S Broadway, Oak Grove, MO 64075-6140 | 2008-07-03 |
| Find all providers in zip 64075 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366800922 | St. Michael's Health Clinic | Clinic/Center | 2801 Walter Garrett Ln, Oak Grove, KY 42262-9998 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423252 | Good Clinic Mn Pllc | Clinic/Center | 315 1st Ave Ne, Minneapolis, MN 55413-5001 | 2020-09-30 |
| 1407496219 | Hope Health Initiative | Clinic/Center | 6818 Humboldt Ave N, Brooklyn Center, MN 55430-1536 | 2020-01-09 |
| 1902392525 | Odam Medical Group | Clinic/Center | 3405 3rd St N, Saint Cloud, MN 56303-4015 | 2018-07-06 |
| 1376041822 | Piic Clinical Services | Clinic/Center | 6500 Humboldt Ave N, Brooklyn Center, MN 55430-1800 | 2018-01-30 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
| 1720500309 | Centracare Clinic | Clinic/Center | 2749 Sexton Drive, Mary Hall - Room 001, Collegeville, MN 56321 | 2017-07-14 |
| 1881116747 | Centracare Clinic | Clinic/Center | 402 Red River Ave N Ste 2, Cold Spring, MN 56320-1523 | 2017-07-12 |
| 1558898387 | Centracare Clinic | Clinic/Center | 161 Glen St., Ste 101, Foley, MN 56329 | 2017-05-11 |
| 1164958104 | Centracare Clinic | Clinic/Center | 113 Waite Ave S Ste 101, Waite Park, MN 56387-1348 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
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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.