I AM HEALTH CLINIC, LLC (NPI# 1104106103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104106103 |
Entity Type | Organization |
Organization Name | I AM HEALTH CLINIC, LLC |
Practice Address |
1005 S Allison Rd Suite A El Dorado Springs MO 64744-2431 |
Practice Telephone | 4178764771 |
Practice Fax Number | 4178764775 |
Mailing Telephone | 4178764771 |
Mailing Fax Number | 4178764775 |
Enumeration Date | 2011-08-22 |
Last Update Date | 2011-08-22 |
Authorized Official Name | MRS. CHERI K ALLISON (OWNER/MANAGER) |
Authorized Official Telephone | 4178764771 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
1005 S ALLISON RD SUITE A |
City | EL DORADO SPRINGS |
State | MO |
Zip Code | 64744-2431 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295251742 | Rachel Kauffman | Pharmacist | 1403 S. Park St., El Dorado Springs, MO 64744 | 2017-08-16 |
1457898603 | Stephanie Louise Miller | Nurse Practitioner | 322 E Hospital Rd, El Dorado Springs, MO 64744 | 2017-01-26 |
1902200645 | Kimberly Denise Souza | Nurse Practitioner | 1317 South Hwy. 32, El Dorado Springs, MO 64744 | 2014-10-09 |
1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
1275674715 | Michael Lee Housh | Dentist | 605 E Hospital Road, Suite #1, El Dorado Springs, MO 64744 | 2007-02-09 |
1932269446 | State of Missouri | Case Management | 1301 Industrial Prkwy E, El Dorado Springs, MO 64744 | 2006-12-12 |
1720195845 | Wilkinson Pharmacy Inc | Pharmacy | 200 E Hwy 54, El Dorado Springs, MO 64744 | 2006-08-24 |
1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
1942243639 | Todd P. Hill | Dentist | 107 Broadway Street, El Dorado Springs, MO 64744 | 2006-06-13 |
1902379266 | El Dorado Vision LLC | Optometrist | 701 E Hospital Rd, El Dorado Springs, MO 64744 | 2019-01-09 |
Find all providers in zip 64744 |
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 |
---|---|---|---|---|
1851834659 | Citizens Memorial Healthcare | Clinic/Center | 322 E Hospital Road, El Dorado Springs, MO 64744-2022 | 2016-11-28 |
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 | EL DORADO SPRINGS |
Zip Code | 64744 |
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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.