MIDWEST DIVISION-LSH.LLC


Address: 807 W 2nd St, Holden, MO 64040-1291
Phone: 8168503612

MIDWEST DIVISION-LSH.LLC (NPI# 1427190354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427190354
Entity Type Organization
Organization Name MIDWEST DIVISION-LSH.LLC
Other Organization Name HOLDEN FAMILY HEALTH CLINIC
Practice Address 807 W 2nd St
Holden
MO 64040-1291
Practice Telephone 8168503612
Practice Fax Number 8168503982
Mailing Telephone 8168503612
Mailing Fax Number 8168503982
Enumeration Date 2007-02-14
Last Update Date 2008-08-19
Authorized Official Name MATTHEW LEARY (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 8169696533
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 593228208 05
MO 503228207 05

Other Provider/Organization Names

Other Name Type Code
Holden Family Health Clinic Doing Business As Name - Organization

Office Location

Street Address 807 W 2ND ST
City HOLDEN
State MO
Zip Code 64040-1291

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861405342 James R Wirkkula Family Medicine 807 W 2nd St, Holden, MO 64040-1291 2006-08-14
1336378249 Western Missouri Medical Center Family Medicine 807 W 2nd St, Holden, MO 64040 2009-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285700203 Steven Wayne Foster Dentist 219 S. Market, Holden, MO 64040 2006-11-28
1467545228 Dana J Van Meter Patton Speech-Language Pathologist 594 Sw 1271, Holden, MO 64040 2006-10-02
1487860888 Bristol Care, Inc. Assisted Living Facility 501 W 2nd St, Holden, MO 64040-1205 2007-05-15
1184680829 Wilkinson Pharmacy Inc Durable Medical Equipment & Medical Supplies 113 W 2nd Street, Holden, MO 64040-1322 2006-04-21
1316110083 Monica Brooks Pharmacist 113 W 2nd St, Holden, MO 64040-1322 2008-04-02
1962960500 Heart In Hands LLC In Home Supportive Care 100 W 2nd St, Holden, MO 64040-1323 2019-03-02
1003373697 Holly Nicole Hoover Licensed Practical Nurse 100 W 2nd St, Holden, MO 64040-1323 2019-03-01
1386749588 Holden Manor, Inc. Skilled Nursing Facility 2005 S Lexington St, Holden, MO 64040-1610 2006-09-13
1669880340 Mary Marie Hoenshell Occupational Therapy Assistant 2005 S Lexington St, Holden, MO 64040-1610 2014-07-26
1891922464 Holden Public School District R-iii Local Education Agency (LEA) 1612 S Market St, Holden, MO 64040-1662 2009-06-22
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

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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
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Competitor

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City HOLDEN
Zip Code 64040

Improve Information

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Dataset Information

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.

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