FAMILY HEALTH CENTER OF BOONE COUNTY (NPI# 1245479526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245479526 |
Entity Type | Organization |
Organization Name | FAMILY HEALTH CENTER OF BOONE COUNTY |
Other Organization Name | FAMILY DENTAL CENTER AT SALISBURY |
Practice Address |
307 S Broadway Salisbury MO 65281-1037 |
Mailing Address |
1001 W Worley St Columbia MO 65203-2037 |
Practice Telephone | 6603886950 |
Practice Fax Number | 6603886935 |
Mailing Telephone | 5738866741 |
Mailing Fax Number | 5736072885 |
Enumeration Date | 2009-02-11 |
Last Update Date | 2020-01-13 |
Authorized Official Name | JACK KELLY (CEO) |
Authorized Official Telephone | 5738866713 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1245479526 | 05 |
Other Name | Type Code |
---|---|
Family Dental Center @ Salisbury | Doing Business As Name - Organization |
Family Dental Center at Salisbury | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639142821 | Family Health Center of Boone County | Clinic/Center | 301 N Providence Rd, Family Health Center @ Blind Boone, Columbia, MO 65203-4091 | 2006-02-09 |
1205308236 | Family Health Center of Boone County | Clinic/Center | 1001 W Worley St, Columbia, MO 65203-2037 | 2019-01-02 |
Street Address |
307 S BROADWAY |
City | SALISBURY |
State | MO |
Zip Code | 65281-1037 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538152996 | Sandra J Clarkson | Nurse Practitioner | 307 S Broadway, Salisbury, MO 65281-1037 | 2005-08-31 |
1629459367 | Amanda Jo Rogers | Nurse Practitioner | 307 S Broadway, Salisbury, MO 65281-1037 | 2015-06-17 |
1194849497 | Gary Wayne Harris | Dentist | 307 S Broadway, Salisbury, MO 65281-1037 | 2007-03-19 |
1346213535 | Compass Health, Inc. | Clinic/Center | 307 S Broadway, Salisbury, MO 65281-1037 | 2006-02-09 |
1013993039 | Rick Allen Bonnette | Family Medicine | 307 S Broadway, Salisbury, MO 65281-1037 | 2005-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972158673 | Hils Pharmacy Salisbury LLC | Pharmacy | 501 E. 24 Hwy Ste A, Salisbury, MO 65281 | 2019-08-08 |
1912494709 | Hils Pharmacy Salisbury LLC | Pharmacy | 501 E. 24 Hwy Ste. A, Salisbury, MO 65281 | 2018-04-17 |
1982782868 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 227 S Broadway, Salisbury, MO 65281 | 2006-11-01 |
1700823432 | Debra Suzanne Hullender | Counselor | 609 S Broadway, Salisbury, MO 65281 | 2006-06-01 |
1972595098 | Deann M White | Nurse Practitioner | 307 S. Broadway, Salisbury, MO 65281 | 2005-08-16 |
1831231471 | Melissa Ann Bosch | Chiropractor | 105 S Broadway, Salisbury, MO 65281 | 2007-02-12 |
1154321040 | Chariton County Ambulance District | Emergency Medical Technician, Paramedic | 212 S Weber Ave, Salisbury, MO 65281-1014 | 2005-07-21 |
1669728846 | Tressa B Aholt | Pharmacist | 227 S Broadway, Salisbury, MO 65281-1035 | 2012-07-25 |
1205008448 | Salisbury Physical Therapy | Clinic/Center | 201 E Front St, Salisbury, MO 65281-1041 | 2008-03-27 |
1710949326 | Chariton Health Systems Inc | Durable Medical Equipment & Medical Supplies | 101 S Weber Ave, Salisbury, MO 65281-1071 | 2006-04-06 |
Find all providers in zip 65281 |
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 |
---|---|---|---|---|
1386157832 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1615 Tree Sap Ct Ste A, Salisbury, MD 21804-9403 | 2017-11-07 |
1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
1285938258 | Three Lower Counties Community Services, Inc. | Clinic/Center | 32033 Beaver Run Dr, Salisbury, MD 21804-1773 | 2011-01-05 |
1780913426 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2009-12-09 |
1518296250 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1665 Woodbrooke Drive, Salisbury, MD 21804-1111 | 2009-12-09 |
1548423478 | Three Lower Counties Community Services, Inc. | Clinic/Center | 560 Riverside Dr, Suite A-204, Salisbury, MD 21801-4700 | 2008-07-10 |
1275700015 | Three Lower Counties Community Services, Inc. | Clinic/Center | 223 Phillip Morris Dr, Salisbury, MD 21804-1923 | 2008-05-12 |
1699942748 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1104 Healthway Dr, Salisbury, MD 21804-4469 | 2008-05-08 |
1346213535 | Compass Health, Inc. | Clinic/Center | 307 S Broadway, Salisbury, MO 65281-1037 | 2006-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
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 |
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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.