REGIONAL HEALTH CARE CLINIC, INC (NPI# 1053694422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053694422 |
| Entity Type | Organization |
| Organization Name | REGIONAL HEALTH CARE CLINIC, INC |
| Other Organization Name | KATY TRAIL COMMUNITY HEALTH |
| Practice Address |
1109 Clay Rd. Versailles MO 65084 |
| Mailing Address |
821 Westwood Dr Sedalia MO 65301-2102 |
| Practice Telephone | 5733782351 |
| Mailing Telephone | 6608264774 |
| Mailing Fax Number | 6608261300 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | CHRIS STEWART (CEO) |
| Authorized Official Telephone | 6608261571 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PART B | MA3685 | 01 | |
| MO | 1053694422 | 05 |
| Other Name | Type Code |
|---|---|
| Katy Trail Community Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288472 | Regional Health Care Clinic, Inc | Clinic/Center | 500 S Keeney St, Cole Camp, MO 65325-1059 | 2019-07-26 |
| 1245707298 | Regional Health Care Clinic, Inc | Clinic/Center | 701 N Oak St, Stover, MO 65078-0842 | 2018-10-29 |
| 1972981942 | Regional Health Care Clinic, Inc | Clinic/Center | 1825 Atchison Ave, Marshall, MO 65340-9752 | 2015-05-11 |
| 1457605131 | Regional Health Care Clinic, Inc | Social Worker | 913 W Newton St, Versailles, MO 65084-1811 | 2012-11-02 |
| 1952655862 | Regional Health Care Clinic, Inc | Social Worker | 701 N Oak St, Stover, MO 65078-0842 | 2012-10-30 |
| Street Address |
1109 CLAY RD. |
| City | VERSAILLES |
| State | MO |
| Zip Code | 65084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1912133323 | Ida Mae Suttmoller | Counselor | 108 West Jasper, Versailles, MO 65084 | 2009-06-01 |
| 1649453408 | Kidwell Home | Assisted Living Facility | 1000 Kidwell Drive, Versailles, MO 65084 | 2007-12-14 |
| 1558480640 | Diana Moree Burdick | Nurse Practitioner | 102 North Fisher, Versailles, MO 65084 | 2007-03-28 |
| 1245370923 | Integrity Lifeskills LLC | Psychologist | Bremond St 506, Versailles, MO 65084 | 2007-02-08 |
| 1831250497 | Paul Howard | Family Medicine | 901 Kidwell Drive, Versailles, MO 65084 | 2006-12-13 |
| 1275570863 | Doris Elliott | Counselor | 112 N Highway 5, Versailles, MO 65084 | 2006-06-01 |
| 1730167164 | Frederick Michael Schekorra | Family Medicine | 901 Kidwell, Capital Region Medical Clinic Versailles, Versailles, MO 65084 | 2006-01-05 |
| 1659356731 | Nora Stephan Appelbaum | Nurse Practitioner | 1109 W Clay Rd, Versailles, MO 65084 | 2005-12-12 |
| 1447257571 | Susan Mary Burkhart | Family Medicine | 801 Kidwell Drive, St Mary's Clinic, Versailles, MO 65084 | 2005-07-05 |
| Find all providers in zip 65084 | ||||
| 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 |
|---|---|---|---|---|
| 1487061982 | Cumberland Family Medical Center Inc | Clinic/Center | 360 Amsden Ave, Suite 401, Versailles, KY 40383-1851 | 2014-07-16 |
| 1013244680 | Family Health Services of Darke County, Inc. | Clinic/Center | 10484 Kley Rd, Suite B, Versailles, OH 45380-9561 | 2009-11-03 |
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| 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 | ||||
| City | VERSAILLES |
| Zip Code | 65084 |
Please comment or provide details below to improve the information on REGIONAL HEALTH CARE CLINIC, INC.
| 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.