HEALTH CARE COALITION OF LAFAYETTE COUNTY (NPI# 1174992374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174992374 |
| Entity Type | Organization |
| Organization Name | HEALTH CARE COALITION OF LAFAYETTE COUNTY |
| Other Organization Name | LIVE WELL COMMUNITY HEALTH CENTER BUCKNER |
| Practice Address |
324 S Hudson St Buckner MO 64016-8142 |
| Mailing Address |
825 S Business Highway 13 Lexington MO 64067-1515 |
| Practice Telephone | 8773443572 |
| Practice Fax Number | 8662884492 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | TONIANN RICHARD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6602592440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Live Well Community Health Center Buckner | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1750925293 | Health Care Coalition of Lafayette County | Clinic/Center | 100 Kirkham St, Orrick, MO 64077-8240 | 2019-10-28 |
| 1245609445 | Health Care Coalition of Lafayette County | Clinic/Center | 300 E 9th St, Carrollton, MO 64633-2341 | 2015-09-17 |
| 1992142582 | Health Care Coalition of Lafayette County | Clinic/Center | 206 North Bismark, Suite A, Concordia, MO 64020-8101 | 2013-05-23 |
| 1174960769 | Health Care Coalition of Lafayette County | Clinic/Center | 608 Missouri Street, Waverly, MO 64096-8421 | 2013-05-23 |
| 1649814112 | Health Care Coalition of Lafayette County | Clinic/Center | 607 S 3rd St, Odessa, MO 64076-1417 | 2019-10-29 |
| 1154784460 | Health Care Coalition of Lafayette County | Dentist | 1411a N Jefferson St, Carrollton, MO 64633-1945 | 2016-04-04 |
| Street Address |
324 S HUDSON ST |
| City | BUCKNER |
| State | MO |
| Zip Code | 64016-8142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912002155 | Marcia Davenport Kent | Psychiatry & Neurology | 324 S Hudson St, Buckner, MO 64016 | 2006-09-13 |
| 1083191548 | Hunter Dietrich Rolf | Dentist | 324 S Hudson St, Buckner, MO 64016-8142 | 2018-07-26 |
| 1063940294 | Katherine Renee Snodgrass | Dentist | 324 S Hudson St, Buckner, MO 64016-8142 | 2017-06-01 |
| 1194277020 | Jackie Bounds | Social Worker | 324 S Hudson St, Buckner, MO 64016-8142 | 2016-10-26 |
| 1336571900 | Karl W Grant | Family Medicine | 324 S Hudson St, Buckner, MO 64016-8142 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053753327 | Sarah Ann Patrick | Registered Nurse | 803 N Burnley Rd, Buckner, MO 64016 | 2013-07-26 |
| 1881748754 | Elleys Pharmacy | Pharmacy | 306 S Hudson, Buckner, MO 64016-0108 | 2007-01-22 |
| 1174651038 | Fort Osage Fire Protection Dist | Ambulance | 400 East Monroe, Buckner, MO 64016-0287 | 2007-03-01 |
| 1497388185 | Affordable Adult & Senior Services LLC | Home Health | 33702 E Roy Harra Rd, Buckner, MO 64016-7211 | 2020-02-20 |
| 1215016142 | Aubrey E. Hopkins IIi | Chiropractor | 27606 E Rogers Rd, Buckner, MO 64016-8129 | 2006-11-02 |
| 1023568078 | Buckner Pharmacy | Pharmacy | 325 S Hudson St, Buckner, MO 64016-8142 | 2016-10-13 |
| 1861476426 | Elleys Pharmacy | Pharmacy | 306 S Hudson St, Buckner, MO 64016-8142 | 2005-12-06 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
| 1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1376164699 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 896 S Sturgeon St, Montgomery City, MO 63361-2716 | 2020-04-27 |
| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
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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.