EAST MISSOURI ACTION AGENCY, INC (NPI# 1972756633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972756633 |
| Entity Type | Organization |
| Organization Name | EAST MISSOURI ACTION AGENCY, INC |
| Practice Address |
606 West Russell Ironton MO 63650 |
| Mailing Address |
P O Box N 403 Parkway Dr Park Hills MO 63601 |
| Practice Telephone | 5734315191 |
| Practice Fax Number | 5734317449 |
| Mailing Telephone | 5734315191 |
| Mailing Fax Number | 5734317449 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | MISS ANGEL G PRATHER (WOMEN'S WELLNESS CENTER DIRECTOR) |
| Authorized Official Telephone | 5734315191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 520526013 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417100173 | East Missouri Action Agency, Inc | Clinic/Center | 1111 Linden Ave, Cape Girardeau, MO 63702 | 2008-10-28 |
| Street Address |
606 WEST RUSSELL |
| City | IRONTON |
| State | MO |
| Zip Code | 63650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326008533 | Vatana C. Boonyasai | Family Medicine | 200 St.mary's Street, Lower Level, Pilot Knob, MO 63650 | 2006-03-23 |
| 1194074302 | Robert Franklin Dettmer Sr. | General Practice | 3 Longwood Lane, Ironton, MO 63650-0307 | 2012-09-04 |
| 1578542924 | Arcadia Valley Drug Acquisition Co | Durable Medical Equipment & Medical Supplies | 605 N Main St, Ironton, MO 63650-1006 | 2006-01-13 |
| 1053978643 | Michelle Bobbett | Pharmacist | 605 N Main St, Ironton, MO 63650-1006 | 2019-05-20 |
| 1184016578 | Rebecca Barron | Pharmacist | 605 N Main St, Ironton, MO 63650-1006 | 2015-02-23 |
| 1902152929 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 605 N Main St, Ironton, MO 63650-1006 | 2012-07-27 |
| 1831457027 | Frederick G Dietzler | Pharmacist | 605 N Main St, Ironton, MO 63650-1006 | 2012-04-25 |
| 1831417682 | Southeast Missouri Behavioral Health | Clinic/Center | 143 S Main St, Ironton, MO 63650-1305 | 2010-05-04 |
| 1942451083 | Erika Michelle Parks | Pharmacist | 124 W Russell St, Ironton, MO 63650-1313 | 2008-10-07 |
| 1417050659 | John David Auner | Family Medicine | 128 W Russell St, Ironton, MO 63650-1313 | 2006-09-06 |
| Find all providers in zip 63650 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992126262 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 2796 98 North Highway 67, Florissant, MO 63033-1402 | 2014-01-03 |
| 1134540545 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 3401 S Grand Blvd, Saint Louis, MO 63118-1003 | 2014-01-02 |
| 1790106102 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 208 Mid Rivers Ctr, Saint Peters, MO 63376-4325 | 2014-01-02 |
| 1447671847 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 626 E Battlefield St, Springfield, MO 65807-4806 | 2014-01-02 |
| 1417100173 | East Missouri Action Agency, Inc | Clinic/Center | 1111 Linden Ave, Cape Girardeau, MO 63702 | 2008-10-28 |
| 1518110279 | East Missouri Action Agency, Inc. | Clinic/Center | 806 West College Rd, Fredericktown, MO 63645 | 2008-10-28 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1710025754 | Tri-rivers Family Planning, Inc. | Clinic/Center | 1032 Kingshighway St Ste B, Rolla, MO 65401-2921 | 2007-02-02 |
| 1740601145 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 1 Stonegate Ctr, Valley Park, MO 63088-1215 | 2014-01-02 |
| 1497176804 | Planned Parenthood of The St. Louis Region and Southwest Missouri | Clinic/Center | 710 Illinois Ave, Joplin, MO 64801-5005 | 2014-01-02 |
| 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.