ST. CLAIR COUNTY HOSPITAL DISTRICT #1 (NPI# 1386728798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386728798 |
| Entity Type | Organization |
| Organization Name | ST. CLAIR COUNTY HOSPITAL DISTRICT #1 |
| Other Organization Name | LAKE AREA PRIMARY CARE CLINIC |
| Practice Address |
Hwy 54 East Wheatland MO 65779 |
| Mailing Address |
Hwy 54 East Wheatland MO 65779-7501 |
| Practice Telephone | 4172825882 |
| Practice Fax Number | 4172825681 |
| Mailing Telephone | 4172825882 |
| Mailing Fax Number | 4172825681 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | MARY C SMILEY (CEO) |
| Authorized Official Telephone | 4176468181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 505985200 | 05 |
| Other Name | Type Code |
|---|---|
| Lake Area Primary Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306965280 | St. Clair County Hospital District #1 | Ambulance | 700 Giesler Rd, Osceola, MO 64776-6279 | 2007-03-29 |
| 1619051844 | St. Clair County Hospital District #1 | Medicare Defined Swing Bed Unit | 700 Giesler Rd, Osceola, MO 64776-6279 | 2006-10-24 |
| 1588747554 | St. Clair County Hospital District #1 | General Acute Care Hospital | 700 Giesler Rd, Osceola, MO 64776-6279 | 2006-10-23 |
| Street Address |
HWY 54 EAST |
| City | WHEATLAND |
| State | MO |
| Zip Code | 65779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184133126 | Wheatland R-ii School District | Local Education Agency (LEA) | 18808 State Highway 83, Wheatland, MO 65779-0068 | 2017-09-21 |
| 1861894321 | Seasons Changed Counseling LLC | Counselor | Rr 72 Box 1664, Wheatland, MO 65779-9706 | 2014-09-16 |
| 1649520420 | Shirley Rebekah Whitley | Counselor | Rr 2 Box 1664, Wheatland, MO 65779-9706 | 2012-09-19 |
| 1326130873 | Leslie D Mooneyham | Counselor | Rr 2 Box 2711, Wheatland, MO 65779-9809 | 2006-09-29 |
| 1689761553 | Jonna J Mooneyham | Counselor | Rr 2 Box 2711, Wheatland, MO 65779-9809 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073516 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St Ste B100, Wheatland, WY 82201-3201 | 2020-11-06 |
| 1356809032 | Cowboy Drug | Pharmacy | 977 Gilchrist St, Wheatland, WY 82201-2931 | 2019-03-12 |
| 1972086445 | Corinne Lauppe | Marriage & Family Therapist | 100 Wheatland Park Dr, Wheatland, CA 95692-9286 | 2018-09-11 |
| 1134668346 | Tammie Kennedy | Registered Nurse | 1550 Cedar St, Wheatland, WY 82201-2536 | 2017-02-21 |
| 1639617145 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-02-03 |
| 1275080012 | Nicole Drescher | Registered Nurse | 28 Rompoon Rd, Wheatland, WY 82201-9265 | 2016-09-09 |
| 1144674946 | Jennifer A Raser | Case Manager/Care Coordinator | 975 Gilchrist St, Wheatland, WY 82201-2931 | 2016-04-18 |
| 1932561214 | Sarah Miller | Social Worker | 907 19th St, Wheatland, WY 82201-2407 | 2016-03-24 |
| 1194101436 | Rebecca Hampton | Community Health Worker | 1301 11th St, Wheatland, WY 82201-2317 | 2015-08-10 |
| 1073995734 | Cheyenne Vamc | Clinic/Center | 759 E Cole St, Wheatland, WY 82201-9998 | 2015-06-18 |
| Find all providers in WHEATLAND | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538199252 | Sutter North Medical Foundation | Clinic/Center | 411 4th St, Wheatland, CA 95692-9467 | 2006-07-05 |
| 1003413212 | Memorial Hospital of Converse County | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2020-10-01 |
| 1235670092 | Platte County Memorial Hospital | Clinic/Center | 1551 Brice St, Wheatland, WY 82201-3505 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 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.