COLE COUNTY LUTHERAN HOME ASSOC (NPI# 1952569964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952569964 |
| Entity Type | Organization |
| Organization Name | COLE COUNTY LUTHERAN HOME ASSOC |
| Other Organization Name | ACCESS CARE CLINIC |
| Practice Address |
1002 W Main St Jefferson City MO 65109-6901 |
| Mailing Address |
1150 Hanley Industrial Ct Saint Louis MO 63144-1910 |
| Practice Telephone | 5736366288 |
| Practice Fax Number | 5736369306 |
| Mailing Telephone | 3149689313 |
| Mailing Fax Number | 3149685590 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | MR. MICHAEL T RASO (REGIONAL VICE PRESIDENT) |
| Authorized Official Telephone | 3144462533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Access Care Clinic | Doing Business As Name - Organization |
| Street Address |
1002 W MAIN ST |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-6901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384824 | Lindsey Hagerman | Occupational Therapy Assistant | 1002 W Main St, Jefferson City, MO 65109-6901 | 2020-10-20 |
| 1396095022 | Cole County Lutheran Home Association | Clinic/Center | 1002 W Main St, Jefferson City, MO 65109-6901 | 2012-09-10 |
| 1932320090 | Cole County Lutheran Home Association | Assisted Living Facility | 1002 W Main St, Jefferson City, MO 65109-6901 | 2007-05-02 |
| 1841384997 | Cole County Lutheran Home Association | Skilled Nursing Facility | 1002 W Main St, Jefferson City, MO 65109-6901 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245880608 | Strength-based Therapeutic Organized Education | Clinic/Center | 4055 Edmundson Rd, Saint Louis, MO 63134-3947 | 2019-09-18 |
| 1184197816 | Flourish. Nutrition Therapy | Clinic/Center | 6222 Potomac St, Saint Louis, MO 63139-2011 | 2019-01-04 |
| 1164860375 | Let's Talk Teen Clinic Inc. | Clinic/Center | 119 Church Street, Suite 131, Ferguson, MO 63135 | 2013-06-10 |
| 1952649444 | Kansas City Care Clinic | Clinic/Center | 3515 Broadway Street, Kansas City, MO 64111 | 2013-01-18 |
| 1437460896 | Medical Missions for Christ | Clinic/Center | 1974 N Business Route 5, Camdenton, MO 65020-2612 | 2010-06-30 |
| 1649503772 | Safe Kids | Clinic/Center | 219 Creekside Office Dr, Wentzville, MO 63385-3290 | 2009-09-08 |
| 1114174935 | Dade County Health Department | Clinic/Center | 413 W Water St, Greenfield, MO 65661-1353 | 2008-08-22 |
| 1720272289 | University of Kansas Hospital Authourity | Clinic/Center | 501 W 107th St, Grand Court One of Kansas City, Kansas City, MO 64114-5919 | 2007-08-28 |
| 1255547592 | Social Welfare Board | Clinic/Center | 904 S 10th St Ste A, Saint Joseph, MO 64503-2400 | 2007-05-15 |
| 1265909154 | Nutriformance | Clinic/Center | 10407 Clayton Rd, Frontenac, MO 63131-2909 | 2018-10-29 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on COLE COUNTY LUTHERAN HOME ASSOC.
| 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.