SOUTHTOWNE URGENT CARE LLC (NPI# 1124057112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124057112 |
| Entity Type | Organization |
| Organization Name | SOUTHTOWNE URGENT CARE LLC |
| Practice Address |
180 Mall Rd Suite H Hollister MO 65672-9602 |
| Practice Telephone | 4173365161 |
| Practice Fax Number | 4173360242 |
| Mailing Telephone | 4173365161 |
| Mailing Fax Number | 4173360242 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BRIAN TEETER (OFFICER) |
| Authorized Official Telephone | 4173365161 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | R5F63 | MO | Ambulatory Health Care Facilities |
| Street Address |
180 MALL RD SUITE H |
| City | HOLLISTER |
| State | MO |
| Zip Code | 65672-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811962889 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 180 Mall Rd, Suite A & B, Hollister, MO 65672-9602 | 2006-02-22 |
| 1104068907 | Wayne Merrill Tompkins | Chiropractor | 180 Mall Rd, Ste H, Hollister, MO 65672-9602 | 2009-03-26 |
| 1821230632 | Tompkins Wellness Center Inc | Chiropractor | 180 Mall Rd, Ste H, Hollister, MO 65672-9602 | 2009-03-26 |
| 1992967509 | Family Pharmacy Partnership | Durable Medical Equipment & Medical Supplies | 180 Mall Rd, Ste A&b, Hollister, MO 65672-9602 | 2008-06-26 |
| 1164595021 | Jonathan Chase Britton | Hearing Instrument Specialist | 180 Mall Rd, Ste. F, Hollister, MO 65672-9602 | 2006-11-16 |
| 1588737548 | Sound Advice Hearing Doctors LLC | Hearing Aid Equipment | 180 Mall Rd, Ste. F, Hollister, MO 65672-9602 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992994 | Lajan Kayle Taylor | Speech-Language Pathologist | 11103 Historic Hwy. 165, Hollister, MO 65672 | 2017-10-02 |
| 1417094087 | Canote Pharmacy, Inc | Pharmacy | 215 Gage Drive, Suite L, Hollister, MO 65672 | 2007-01-31 |
| 1538247887 | Skaggs Community Hospital Association | Pediatrics | 590 Birch Street, Ste 2c, Hollister, MO 65672 | 2006-11-02 |
| 1396797585 | Christopher S Fletcher | Family Medicine | 10994 Historic Hwy 165, Hollister, MO 65672 | 2006-05-16 |
| 1366443962 | Johnny Lee Gillispie | Internal Medicine | 590 Birch Rd, Ste 1b, Hollister, MO 65672 | 2005-08-03 |
| 1154508752 | Woman's Clinic of Branson, LLC | Obstetrics & Gynecology | 590 Birch Rd, Suite 2-b, Hollister, MO 65672 | 2008-01-25 |
| 1164561148 | Canote Pharmacy, Inc | Pharmacy | 215 Gage Drive, Suite K, Hollister, MO 65672 | 2007-02-06 |
| 1316373145 | Toni D Mcclure | Social Worker | 115 Deep Forrest, Hollister, MO 65672-4104 | 2013-09-25 |
| 1548365448 | R Randall Sukman | Internal Medicine | 2331 S Business Highway 65, Hollister, MO 65672-5105 | 2006-09-14 |
| 1629230826 | Lionheart Holdings, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2331 S Business Highway 65, Hollister, MO 65672-5105 | 2008-06-28 |
| Find all providers in zip 65672 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1841313558 | San Benito County Behavioral Health | Clinic/Center | 544 San Benito St, Ste. 102, Hollister, CA 95023-3832 | 2007-04-09 |
| 1194905323 | Daniel Y Wang Md Corp | Clinic/Center | 920 Sunnyslope Rd, Hollister, CA 95023-5784 | 2007-11-05 |
| 1255461471 | San Benito County | Clinic/Center | 1131 San Felipe Rd, Hollister, CA 95023-2800 | 2007-03-06 |
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| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1447873914 | 2 for Him, LLC | Clinic/Center | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
| 1780204586 | Keep Well Now | Clinic/Center | 2405 Aspen Rd, Highlandville, MO 65669-8051 | 2020-04-21 |
| 1871112102 | Thrive St. Louis, Inc | Clinic/Center | 4331 Lindell Blvd, Saint Louis, MO 63108-2701 | 2020-04-16 |
| 1548893530 | Gateway Direct Primary Care Jv LLC | Clinic/Center | 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 | 2020-02-18 |
| 1033741202 | Olalani Holdings LLC | Clinic/Center | 950 Francis Pl Ste 217, Clayton, MO 63105-2465 | 2020-02-06 |
| 1124659180 | Eldon Family Chiropractic, LLC | Clinic/Center | 102 N Business Highway 54 E Ste D, Eldon, MO 65026-2041 | 2020-01-29 |
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| 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.