FARMINGTON MISSOURI HOSPITAL COMPANY LLC (NPI# 1316989114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316989114 |
| Entity Type | Organization |
| Organization Name | FARMINGTON MISSOURI HOSPITAL COMPANY LLC |
| Other Organization Name | CHILDREN'S HAVEN |
| Practice Address |
605 Wallace Rd Farmington MO 63640-9217 |
| Practice Telephone | 5737562108 |
| Practice Fax Number | 5737561865 |
| Mailing Telephone | 5737562108 |
| Mailing Fax Number | 5737561865 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DEBBIE T BREWER (SR VICE PRESIDENT) |
| Authorized Official Telephone | 8778929813 |
| Is Organization Subpart | Y |
| Parent Organization Name | FARMINGTON MISSOURI HOSPITAL COMPANY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Children's Haven | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407898208 | Farmington Missouri Hospital Company LLC | Internal Medicine | 1212 Weber Road, Farmington, MO 63640 | 2006-06-13 |
| 1538199112 | Farmington Missouri Hospital Company LLC | Clinic/Center | 1212 Weber Road, Farmington, MO 63640 | 2006-07-03 |
| 1952343758 | Farmington Missouri Hospital Company LLC | Clinic/Center | 1212 Weber Road, Farmington, MO 63640 | 2006-06-13 |
| 1477596245 | Farmington Missouri Hospital Company LLC | Clinic/Center | 1212 Weber Road, Farmington, MO 63640 | 2006-06-13 |
| Street Address |
605 WALLACE RD |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-9217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811088446 | Diana Blackwell | Social Worker | 605 Wallace Rd, Farmington, MO 63640-9217 | 2006-09-27 |
| 1083705610 | James F Labundy | Social Worker | 605 Wallace Rd, Farmington, MO 63640-9217 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134194483 | Choices Behavioral Health Services, Inc. | Clinic/Center | 313 W Apache St, Farmington, NM 87401-5835 | 2006-02-21 |
| 1750540480 | Child & Family Wellness | Clinic/Center | 1601 E 20th St, Farmington, NM 87401-4307 | 2008-06-06 |
| 1467583336 | Bjc Behavioral Health | Clinic/Center | 1085 Maple St, Farmington, MO 63640-1955 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354781 | Community Treatment Inc | Clinic/Center | 106 N Mill St, Festus, MO 63028-1816 | 2020-10-19 |
| 1962025072 | Empowering Transformations, LLC | Clinic/Center | 5842 Walsh St, Saint Louis, MO 63109-3120 | 2020-05-22 |
| 1548895790 | Ozark Trails Youth Services | Clinic/Center | 40840 Cr Rd 181-280, Willow Springs, MO 65793-6579 | 2020-03-09 |
| 1366076721 | Midwest Psychological Services, LLC | Clinic/Center | 220 W Argonne Dr Ste B, Kirkwood, MO 63122-4237 | 2020-02-25 |
| 1851860209 | Preferred Family Healthcare, Inc | Clinic/Center | 3300 S National Ave Ste 500, Springfield, MO 65807-7343 | 2018-11-15 |
| 1548759251 | Stacey Juengst Counseling Services | Clinic/Center | 1000 Edgewater Point Drive, Suite 401, Lake Saint Louis, MO 63367-2954 | 2018-05-08 |
| 1982129722 | Solid Ground Counseling Services, LLC | Clinic/Center | 2515 W Allen Dr, Springfield, MO 65810-1300 | 2017-08-12 |
| 1740714823 | Storge LLC | Clinic/Center | 7114 Vernon Ave, University City, MO 63130-2301 | 2017-04-17 |
| 1437527314 | Emotional Health Therapy | Clinic/Center | 7730 Carondelet Ave, Suite 307, Saint Louis, MO 63105-3314 | 2015-09-09 |
| 1114055076 | Burrell, Inc. | Clinic/Center | 3301 Berrywood Dr Ste 101, Columbia, MO 65201-6517 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.