RON MCCULLEY (NPI# 1649397779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649397779 |
| Entity Type | Organization |
| Organization Name | RON MCCULLEY |
| Practice Address |
2520 James St Scott City MO 63780-1219 |
| Practice Telephone | 5732642424 |
| Mailing Telephone | 5732642424 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | RON MCCULLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 5732642424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 032088 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 266796309 | 05 |
| Street Address |
2520 JAMES ST |
| City | SCOTT CITY |
| State | MO |
| Zip Code | 63780-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371593 | Scott City Sunshine LLC | Assisted Living Facility | 2520 James St, Scott City, MO 63780-1219 | 2020-09-16 |
| 1639554488 | Sunshine Villa Homes LLC | Assisted Living Facility | 2520 James St, Scott City, MO 63780-1219 | 2015-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215464193 | Ashton Elfrink | Occupational Therapy Assistant | 528 Co Hwy 210, Scott City, MO 63780 | 2017-05-22 |
| 1144505447 | Si03, Inc. | Medical Foods Supplier | 4711 Nash Road, Scott City, MO 63780 | 2011-10-18 |
| 1881013209 | Jessica Mier | Speech-Language Pathologist | 311 Steck St, Scott City, MO 63780-1105 | 2014-04-14 |
| 1205080538 | Scott City School District R-1 | Local Education Agency (LEA) | 3000 Main St, Scott City, MO 63780-1111 | 2008-11-13 |
| 1285877282 | Dianne Patricia Roth | Speech-Language Pathologist | 3000 Main St, Scott City, MO 63780-1111 | 2009-04-07 |
| 1326108382 | Teresa Jean Cobb | Occupational Therapist | 112 N Berkley St, Scott City, MO 63780-1202 | 2006-12-11 |
| 1386785277 | Cathy Wyatt | Physical Therapist | 112 N Berkley St, Scott City, MO 63780-1202 | 2007-02-12 |
| 1497896070 | Pediatric Therapy Unlimited Inc | Occupational Therapist | 112 N Berkley St, Scott City, MO 63780-1202 | 2007-02-08 |
| 1699751727 | Judith Ann Hodits | Nurse Practitioner | 100 E Outer Rd, Scott City, MO 63780-1229 | 2005-12-20 |
| 1376002204 | Saint Francis Medical Center | Nurse Practitioner | 100 E Outer Rd, Scott City, MO 63780-1229 | 2019-03-19 |
| Find all providers in zip 63780 | ||||
| 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 |
|---|---|---|---|---|
| 1437187895 | Scott County Hospital | Clinic/Center | 201 Albert Ave, Scott City, KS 67871 | 2006-06-28 |
| 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 | SCOTT CITY |
| Zip Code | 63780 |
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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.