WESTERN JOHNSON COUNTY MEDICAL CLINIC (NPI# 1467405035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467405035 |
| Entity Type | Organization |
| Organization Name | WESTERN JOHNSON COUNTY MEDICAL CLINIC |
| Practice Address |
305 E Pacific St Kingsville MO 64061-2512 |
| Mailing Address |
Po Box 111 Kingsville MO 64061-0111 |
| Practice Telephone | 8165973500 |
| Practice Fax Number | 8165973555 |
| Mailing Telephone | 8165973500 |
| Mailing Fax Number | 8165973555 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-09-07 |
| Authorized Official Name | WENDY BLAYLOCK (OFFICE MANAGER) |
| Authorized Official Telephone | 8165973500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
305 E PACIFIC ST |
| City | KINGSVILLE |
| State | MO |
| Zip Code | 64061-2512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720370232 | Cass Regional Medical Center | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2011-05-03 |
| 1518269257 | Cass Regional Medical Center | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2010-12-01 |
| 1073754768 | Wendy Shalene Blaylock | Social Worker | 305 E Pacific St, Kingsville, MO 64061-2512 | 2009-03-10 |
| 1801952833 | Western Johnson County Medical Clinic LLC | Clinic/Center | 305 E Pacific St, Kingsville, MO 64061-2512 | 2006-12-27 |
| 1396845020 | Kristin Anstine | Nurse Practitioner | 305 E Pacific St, Kingsville, MO 64061-2512 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376984153 | Kimberly Ann Smith | Speech-Language Pathologist | 15612 Hadsell Rd, Kingsville, MO 64061-9007 | 2013-07-09 |
| 1952705444 | Country Crossroads Counseling | Community/Behavioral Health | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2014-10-13 |
| 1457984379 | Jessica Janis | Counselor | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2020-02-19 |
| 1093205908 | Mandy Greene | Counselor | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2018-05-16 |
| 1841720851 | Katie Marie Watterson | Counselor | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2017-06-13 |
| 1134580723 | Suzanne Leemay Seitz | Counselor | 441 Nw W Hwy, Kingsville, MO 64061-9117 | 2016-03-10 |
| 1003414020 | Scarlett Long | Nurse Practitioner | 590 Nw 1751st Rd, Kingsville, MO 64061-9169 | 2020-10-12 |
| 1497065064 | Dianna L Jennings | Speech-Language Pathologist | 101 E Adriatic St # 7, Kingsville, MO 64061-9202 | 2010-10-18 |
| 1831417310 | School Dist R-1 Kingsville | Physical Therapist | 101 E Adriatic St, Kingsville, MO 64061-9202 | 2010-05-10 |
| 1407053648 | Sharon Darlene Weir | Preferred Provider Organization | 39906 E 219th St, Kingsville, MO 64061-9279 | 2007-06-29 |
| Find all providers in zip 64061 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982219945 | Behavior Dad, LLC | Clinic/Center | 3509 W Moark, Battlefield, MO 65619-9616 | 2020-09-15 |
| 1801406178 | Primary Care of Cedar Hill Harmony | Clinic/Center | 6420 The Cedars Ct Ste 1, Cedar Hill, MO 63016-2222 | 2020-08-03 |
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1447873914 | 2 for Him, LLC | Clinic/Center | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
| 1780204586 | Keep Well Now | Clinic/Center | 2405 Aspen Rd, Highlandville, MO 65669-8051 | 2020-04-21 |
| 1871112102 | Thrive St. Louis, Inc | Clinic/Center | 4331 Lindell Blvd, Saint Louis, MO 63108-2701 | 2020-04-16 |
| 1548893530 | Gateway Direct Primary Care Jv LLC | Clinic/Center | 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 | 2020-02-18 |
| 1033741202 | Olalani Holdings LLC | Clinic/Center | 950 Francis Pl Ste 217, Clayton, MO 63105-2465 | 2020-02-06 |
| 1124659180 | Eldon Family Chiropractic, LLC | Clinic/Center | 102 N Business Highway 54 E Ste D, Eldon, MO 65026-2041 | 2020-01-29 |
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | KINGSVILLE |
| Zip Code | 64061 |
Please comment or provide details below to improve the information on WESTERN JOHNSON COUNTY MEDICAL CLINIC.
| 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.