HEALTHMONT OF MISSOURI LLC (NPI# 1275760829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275760829 |
| Entity Type | Organization |
| Organization Name | HEALTHMONT OF MISSOURI LLC |
| Other Organization Name | DBA CALLAWAY COMMUNITY HOSPITAL DBA SPECIALITY CLINICS |
| Practice Address |
850 W Hospital Dr Suite F Fulton MO 65251-2535 |
| Practice Telephone | 5736425338 |
| Practice Fax Number | 5736429224 |
| Mailing Telephone | 5736428280 |
| Mailing Fax Number | 5736424686 |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | MICHAEL C. DEATON (CFO) |
| Authorized Official Telephone | 5735926521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| DBA Callaway Community Hospital DBA Speciality Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110267 | Healthmont of Missouri LLC | General Acute Care Hospital | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2005-08-10 |
| 1306140371 | Healthmont of Missouri LLC | Psychiatric Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2011-01-05 |
| 1295778314 | Healthmont of Missouri LLC | Clinic/Center | 850 W Hospital Dr, Suite F, Fulton, MO 65251 | 2006-06-14 |
| 1184667263 | Healthmont of Missouri LLC | Medicare Defined Swing Bed Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2006-06-14 |
| Street Address |
850 W HOSPITAL DR SUITE F |
| City | FULTON |
| State | MO |
| Zip Code | 65251-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679559033 | Ricci R. Porter | Family Medicine | 850 W Hospital Dr, Ste D, Fulton, MO 65251 | 2005-12-19 |
| 1689120933 | Rachael Fletcher | Physical Therapist | 850 W Hospital Dr, Suite A, Fulton, MO 65251 | 2016-08-28 |
| 1710212766 | Gina M Oliver | Nurse Practitioner | 850 W Hospital Dr, Ste F, Fulton, MO 65251 | 2009-10-08 |
| 1295778314 | Healthmont of Missouri LLC | Clinic/Center | 850 W Hospital Dr, Suite F, Fulton, MO 65251 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174008023 | East Central Missouri Behavioral Health Services, Inc. | Psychiatry & Neurology | 581 Commons Drive, Fulton, MO 65251 | 2018-09-26 |
| 1659888428 | Annette Marie Holt | Nurse Practitioner | 350 Country Meadows Lane, Fulton, MO 65251 | 2018-01-03 |
| 1922458454 | Benjamin Newell Crary | Family Medicine | 110 N Hosital Dr, Fulton, MO 65251 | 2016-06-15 |
| 1750763348 | Ssm Audrain Health Care, Inc | Clinic/Center | 350 Country Meadow Ln, Fulton, MO 65251 | 2015-06-19 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1881019750 | Mid-missouri Hearing and Balance, Inc. | Audiologist-Hearing Aid Fitter | 850 W. Hospital Drive, Ste. G, Fulton, MO 65251 | 2014-02-28 |
| 1861828105 | Justin Ryan Campbell | Occupational Therapist | 508 Saint Eunice Road, Fulton, MO 65251 | 2013-09-18 |
| 1417257536 | June A Dillon | Counselor | 2625 Fairway Dr., Suite E, Fulton, MO 65251 | 2010-10-22 |
| 1033354196 | Michael K Mcelhinney | Specialist/Technologist | One University Avenue, William Woods University - Athletics, Fulton, MO 65251 | 2008-12-03 |
| 1326299967 | Karanbir Sandhu | Dentist | 1393 Highway O, Fulton, MO 65251 | 2008-10-01 |
| Find all providers in zip 65251 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114368677 | Melissa Perry | Specialist | 3112 County Route 45, Fulton, NY 13069-4237 | 2013-07-12 |
| 1841507159 | Megan Harrison Benavidez | Specialist | 3144 Mount Pleasant Rd, Fulton, MS 38843-9694 | 2010-09-08 |
| 1568778355 | Melissa Moore | Specialist | 6995 Dorsey Evergreen Rd, Fulton, MS 38843-7743 | 2010-08-31 |
| 1962614065 | Cny Pain Management Medical Suite, PC | Specialist | 59 South First Street, Fulton, NY 13069 | 2007-05-03 |
| 1225179575 | Felix Takor Oben | Specialist | 17 S 1st St, Fulton, NY 13069-1704 | 2007-02-09 |
| 1255498424 | Upstate Pain Medicine PC | Specialist | 59 S 1st St, Fulton, NY 13069-1704 | 2007-01-03 |
| 1609806173 | Frederick Mike Wilson | Specialist | 2613 Fairway Dr, Fulton, MO 65251 | 2006-07-03 |
| 1164467031 | Yves Jacques Lafond | Specialist | 451 South 4th Street, Fulton, NY 13069-2060 | 2006-06-17 |
| 1447294269 | Vajira R. P. Gunawardane | Specialist | 7625 Maple Lawn Blvd Ste 100, Fulton, MD 20759-2562 | 2006-06-15 |
| 1336197235 | Jean C Hundley | Specialist | 7625 Maple Lawn Blvd Ste 1, Fulton, MD 20759-2565 | 2006-05-04 |
| Find all providers in FULTON | ||||
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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.