FOREVER YOUNG (NPI# 1619333481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619333481 |
| Entity Type | Organization |
| Organization Name | FOREVER YOUNG |
| Other Organization Name | PROFESSIONAL URGENT CARE, LLC |
| Practice Address |
6055 N Main Street Rd Webb City MO 64870-7219 |
| Mailing Address |
6031 N Main Street Rd #395 Webb City MO 64870-7219 |
| Practice Telephone | 4172060900 |
| Practice Fax Number | 4172060907 |
| Mailing Telephone | 4172060900 |
| Mailing Fax Number | 4172060907 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |
| Authorized Official Name | DR. DAVID LARUE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4172060900 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | PROFESSIONAL URGENT CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | R9J48 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Professional Urgent Care, LLC | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FOREVER YOUNG | 5758 Se Carlton St, Portland, OR 97206 |
| Colorado Business Entities | Forever Young 1208 LLC | 1208 Wadsworth Blvd, Lakewood, CO 80214-4208 |
| Colorado Business Entities | FOREVER YOUNG 3049 LLC | 3049 Appaloosa Ct, Fort Collins, CO 80526 |
| Colorado Business Entities | Forever Young 37, LLC | 1942 Broadway St., Ste 314c, Boulder, CO 80302 |
| Colorado Business Entities | Forever Young 86 | 7421-16 W. Bowles, Suite 109, Littleton, CO 80120 |
| Oregon Corporations, Companies and Business Names | FOREVER YOUNG ADULT CARE HOME | 16401 Se Webster Rd, Milwaukie, OR 97267 |
| Virginia Business Entities | Forever Young Aesthetic & Weight Management Clinic LLC | 336 Front Street East, P.o. Box 2138, Coeburn, Virginia 24230 |
| New York State Corporations | FOREVER YOUNG AESTHETICS LLC | 277 Artist Lake Dr., Middle Island, Ny 11953 |
| New York State Corporations | FOREVER YOUNG AND MORE LLC | 10525 65th Ave, Forest Hills, Ny 11375 |
| New York State Corporations | FOREVER YOUNG APPAREL INC. | 1384 Broadway, Suite 1902, New York, Ny 10018 |
| Street Address |
6055 N MAIN STREET RD |
| City | WEBB CITY |
| State | MO |
| Zip Code | 64870-7219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164703153 | Charles Christopher Gossman | Nurse Practitioner | 6055 N Main Street Rd, Webb City, MO 64870-7219 | 2011-09-02 |
| 1922427806 | Professional Urgent Care LLC | Clinic/Center | 6055 N Main Street Rd, Webb City, MO 64870-7219 | 2014-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| 1639528011 | Adrian Esteban Soto | Dentist | 501 S.madison, Suite P, Webb City, MO 64870 | 2016-06-07 |
| 1518107895 | Joanie Marie Hatterman | Specialist/Technologist | 6151 N. Main Street Road, Webb City, MO 64870 | 2009-02-26 |
| 1184846438 | Carthage Assisted Living, LLC | Assisted Living Facility | 4316 N St Louis Rd, Webb City, MO 64870 | 2007-05-03 |
| 1508087768 | Jacqueline Leanne Young | Speech-Language Pathologist | 411 Madison, Webb City, MO 64870 | 2007-05-02 |
| 1689730392 | Mary Ella Parker | Counselor | 1906 Lakeview Dr, Webb City, MO 64870 | 2006-12-28 |
| 1396233748 | Joshua James Reed | Physical Therapist | 501 S Madison St, Webb City, MO 64870 | 2018-05-01 |
| 1790070050 | Hannah Baxter Andrews | Speech-Language Pathologist | 1829 Philadelphia, Webb City, MO 64870-1093 | 2011-06-15 |
| 1477769404 | Bristol Care, Inc. | Assisted Living Facility | 1803 N Main St, Webb City, MO 64870-1193 | 2007-05-15 |
| 1033245790 | Webb City R-7 School District | Speech-Language Pathologist | 411 N Madison St, Webb City, MO 64870-1238 | 2007-02-26 |
| Find all providers in zip 64870 | ||||
| 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 |
|---|---|---|---|---|
| 1225682529 | Hamlin Medical Innovations LLC | Clinic/Center | 1001 W Daugherty St, Webb City, MO 64870-1717 | 2019-07-25 |
| 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 | ||||
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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.