REGIONAL HEALTH CARE CLINIC, INC (NPI# 1245707298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245707298 |
| Entity Type | Organization |
| Organization Name | REGIONAL HEALTH CARE CLINIC, INC |
| Other Organization Name | KATY TRAIL COMMUNITY HEALTH |
| Practice Address |
701 N Oak St Stover MO 65078-0842 |
| Mailing Address |
821 Westwood Dr Sedalia MO 65301-2102 |
| Practice Telephone | 5733774295 |
| Practice Fax Number | 6608278992 |
| Mailing Telephone | 6608264774 |
| Mailing Fax Number | 6608278992 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | CHRISTINE STEWART (CEO) |
| Authorized Official Telephone | 6608261571 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Katy Trail Community Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053694422 | Regional Health Care Clinic, Inc | Clinic/Center | 1109 Clay Rd., Versailles, MO 65084 | 2011-09-22 |
| 1285288472 | Regional Health Care Clinic, Inc | Clinic/Center | 500 S Keeney St, Cole Camp, MO 65325-1059 | 2019-07-26 |
| 1972981942 | Regional Health Care Clinic, Inc | Clinic/Center | 1825 Atchison Ave, Marshall, MO 65340-9752 | 2015-05-11 |
| 1457605131 | Regional Health Care Clinic, Inc | Social Worker | 913 W Newton St, Versailles, MO 65084-1811 | 2012-11-02 |
| 1952655862 | Regional Health Care Clinic, Inc | Social Worker | 701 N Oak St, Stover, MO 65078-0842 | 2012-10-30 |
| Street Address |
701 N OAK ST |
| City | STOVER |
| State | MO |
| Zip Code | 65078-0842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982933743 | Rita J Sidebottom | Speech-Language Pathologist | 701 N Oak St, Stover, MO 65078-0842 | 2009-12-08 |
| 1457901522 | Morgan County R-1 | Local Education Agency (LEA) | 701 N Oak St, Stover, MO 65078-0842 | 2019-09-19 |
| 1548649346 | Geni Allison Harms | Social Worker | 701 N Oak St, Stover, MO 65078-0842 | 2015-05-26 |
| 1952655862 | Regional Health Care Clinic, Inc | Social Worker | 701 N Oak St, Stover, MO 65078-0842 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215906433 | Capital Region Medical Center | Family Medicine | 2nd Street and Oak, Stover, MO 65078 | 2006-03-17 |
| 1790770444 | Golden Age Nursing Home District | Skilled Nursing Facility | 404 E 3rd, Stover, MO 65078 | 2005-09-19 |
| 1326254319 | Bristol Care, Inc. | Assisted Living Facility | 607 W 4th St, Stover, MO 65078-0807 | 2007-05-15 |
| 1841697794 | Terrie Durbin | Physical Therapy Assistant | 404 E 3rd St, Stover, MO 65078-0947 | 2014-11-20 |
| 1477950459 | Sherri Broekemeier | Physical Therapy Assistant | 404 E 3rd St, Stover, MO 65078-0947 | 2014-11-19 |
| 1992052153 | Kayla Ann Davis | Occupational Therapy Assistant | 103 W 7th St, Stover, MO 65078-0972 | 2012-08-07 |
| 1942841903 | Regional Health Care Clinic, Inc. | Clinic/Center | 41569 Ivy Bend Rd, Stover, MO 65078-2177 | 2019-10-01 |
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
| 1467059980 | Valudental Independence LLC | Clinic/Center | 600 E Us Highway 24, Independence, MO 64050-2910 | 2020-10-07 |
| 1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
| 1043824832 | Pleasant Dental Care Kc | Clinic/Center | 912 E 63rd St Ste 100, Kansas City, MO 64110-3439 | 2020-08-31 |
| 1164033122 | Dental Depot of Blue Springs Pllc | Clinic/Center | 1500 S 7 Hwy, Blue Springs, MO 64014-3943 | 2020-08-13 |
| 1184235517 | Twin Creeks Family Dentistry LLC | Clinic/Center | 10560 N Ambassador Dr Ste 200, Kansas City, MO 64153-1591 | 2020-08-10 |
| 1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
| 1538622071 | Smile Safari of Missouri | Clinic/Center | 10016 E 63rd St, Raytown, MO 64133-5102 | 2019-04-11 |
| 1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
| 1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
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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.