PROFESSIONAL CLINICS LLC (NPI# 1154563559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154563559 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL CLINICS LLC |
| Other Organization Name | CONVENIENT HEALTHCARE |
| Practice Address |
624 Old Saint Marys Rd Suite A Perryville MO 63775-1837 |
| Practice Telephone | 5735473232 |
| Practice Fax Number | 5735473231 |
| Mailing Telephone | 5735473232 |
| Mailing Fax Number | 5735473231 |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2011-06-21 |
| Authorized Official Name | MR. BARRY NAEGER (OWNER) |
| Authorized Official Telephone | 5735473232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Convenient Healthcare | Doing Business As Name - Organization |
| Street Address |
624 OLD SAINT MARYS RD SUITE A |
| City | PERRYVILLE |
| State | MO |
| Zip Code | 63775-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891726782 | Kathleen M. Arnzen | Nurse Practitioner | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2006-07-06 |
| 1477105427 | Jennifer Diane Roth | Nurse Practitioner | 624 Old Saint Marys Rd, Perryville, MO 63775-1837 | 2019-07-10 |
| 1700350543 | Southeast Missouri Hospital Physicians, LLC | Clinic/Center | 624 Old Saint Marys Rd, Perryville, MO 63775-1837 | 2019-01-15 |
| 1326593310 | Nikki Marie Malley | Nurse Practitioner | 624 Old Saint Marys Rd, Perryville, MO 63775-1837 | 2016-08-18 |
| 1477909372 | Professional Clinics, LLC | Clinic/Center | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2016-05-10 |
| 1326346057 | Gena Marie Weinhold | Nurse Practitioner | 624 Old Saint Marys Rd, A, Perryville, MO 63775-1837 | 2011-03-03 |
| 1275837551 | Michael J Moldenhauer | Nurse Practitioner | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2010-12-31 |
| 1427195122 | Gayla Ann Dace | Nurse Practitioner | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1902461908 | Health Care Pharmacy of Perryville, LLC | Pharmacy | 628 N Old St Marys Rd, Perryville, MO 63775 | 2019-05-06 |
| 1710437603 | Danielle Renee Hoeckele | Chiropractor | 1516 Edgemont Blvd Ste 100, Perryville, MO 63775 | 2016-10-04 |
| 1487024956 | Sherry Ann Goshen | Social Worker | 12 N Kings Hwy, Perryville, MO 63775 | 2015-09-28 |
| 1669801353 | Derek Adelman | Physical Therapy Assistant | 206 Hospital Lane, Ste 100, Perryville, MO 63775 | 2013-11-04 |
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1013171115 | Air Evac Ems Inc. | Ambulance | 4801 N Highway 51, Perryville, MO 63775 | 2008-07-17 |
| 1245457241 | Robert Schremp | Physical Therapist | 150 S. Mount Auburn Road, Cape Girardeau, MO 63775 | 2007-04-19 |
| Find all providers in zip 63775 | ||||
| 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 |
|---|---|---|---|---|
| 1114327954 | Perry County Health System | Clinic/Center | 1508 Edgemont Blvd, Perryville, MO 63775-1231 | 2014-08-29 |
| 1528128782 | Bristol Bay Area Health Corporation | Clinic/Center | Main Street, Perryville, AK 99648 | 2006-12-11 |
| 1619921160 | Perry County Health System | Clinic/Center | 206 Hospital Ln, Perryville, MO 63775-1276 | 2006-05-20 |
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|---|---|---|---|---|
| 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 | PERRYVILLE |
| Zip Code | 63775 |
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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.