HEALTH CARE COALITION OF LAFAYETTE COUNTY (NPI# 1649814112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649814112 |
| Entity Type | Organization |
| Organization Name | HEALTH CARE COALITION OF LAFAYETTE COUNTY |
| Other Organization Name | LIVE WELL COMMUNITY HEALTH CENTER ODESSA |
| Practice Address |
607 S 3rd St Odessa MO 64076-1417 |
| Mailing Address |
825 S Business Highway 13 Lexington MO 64067-1515 |
| Practice Telephone | 8773443572 |
| Practice Fax Number | 8662884492 |
| Mailing Telephone | 6602592440 |
| Mailing Fax Number | 6602510524 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | TONIANN RICHARD (CEO) |
| Authorized Official Telephone | 6602592440 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH CARE COALITION OF LAFAYETTE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Live Well Community Health Center Odessa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1750925293 | Health Care Coalition of Lafayette County | Clinic/Center | 100 Kirkham St, Orrick, MO 64077-8240 | 2019-10-28 |
| 1245609445 | Health Care Coalition of Lafayette County | Clinic/Center | 300 E 9th St, Carrollton, MO 64633-2341 | 2015-09-17 |
| 1992142582 | Health Care Coalition of Lafayette County | Clinic/Center | 206 North Bismark, Suite A, Concordia, MO 64020-8101 | 2013-05-23 |
| 1174960769 | Health Care Coalition of Lafayette County | Clinic/Center | 608 Missouri Street, Waverly, MO 64096-8421 | 2013-05-23 |
| 1154784460 | Health Care Coalition of Lafayette County | Dentist | 1411a N Jefferson St, Carrollton, MO 64633-1945 | 2016-04-04 |
| 1174992374 | Health Care Coalition of Lafayette County | Clinic/Center | 324 S Hudson St, Buckner, MO 64016-8142 | 2015-09-17 |
| Street Address |
607 S 3RD ST |
| City | ODESSA |
| State | MO |
| Zip Code | 64076-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205332491 | Patricia Deane Collins | Speech-Language Pathologist | 607 S 3rd St, Odessa, MO 64076-1417 | 2018-04-05 |
| 1770025314 | Amanda Rouillard | Speech-Language Pathologist | 607 S 3rd St, Odessa, MO 64076-1417 | 2016-11-14 |
| 1841676723 | Elizabeth Krogull | Speech-Language Pathologist | 607 S 3rd St, Odessa, MO 64076-1417 | 2015-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823966 | Bethany Jeanette Foss | Nurse Practitioner | 1280 W 40 Hwy, Odessa, MO 64076 | 2019-04-22 |
| 1619216231 | Heather N Begemann | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2013-02-01 |
| 1558640334 | Linda Lou Proctor | Registered Nurse | 1278 Old Us 40 Hwy, Odessa, MO 64076 | 2011-08-10 |
| 1730499104 | Pamela Joyce Miller | Counselor | 406 A N. 4th Street, Odessa, MO 64076 | 2010-10-19 |
| 1225004781 | Richard Joseph Humble | Counselor | 406a N 4th, Odessa, MO 64076 | 2006-02-24 |
| 1568962611 | Tina Marie Davis | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2018-02-15 |
| 1740701697 | Leslie Gleason | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2017-06-30 |
| 1982080008 | Danielle Fera | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2015-07-31 |
| 1184979940 | Lucas Paul Taylor | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2012-07-18 |
| 1093893893 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S 2nd St, Odessa, MO 64076 | 2006-11-01 |
| Find all providers in zip 64076 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558715201 | Ector County Hospital District | Clinic/Center | 6030 W University Blvd, 6030 W University Blvd, Odessa, TX 79764-8530 | 2016-04-19 |
| 1497140693 | Compass Health, Inc. | Clinic/Center | 1278 W Us Highway 40, Odessa, MO 64076-9612 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
| 1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1376164699 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 896 S Sturgeon St, Montgomery City, MO 63361-2716 | 2020-04-27 |
| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| 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.