COMMUNITY CLINIC OF BUFFALO LLC (NPI# 1275750879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275750879 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CLINIC OF BUFFALO LLC |
| Practice Address |
1228 W Truman Buffalo MO 65622 |
| Mailing Address |
Po Box 384 Buffalo MO 65622-0384 |
| Practice Telephone | 4173437214 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MICHELLE SWOFFORD (MEMBER) |
| Authorized Official Telephone | 4178890541 |
| Authorized Official Credential | FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1228 W TRUMAN |
| City | BUFFALO |
| State | MO |
| Zip Code | 65622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679822217 | Leanne Boggs | Counselor | 1336 S Ash St., Suite 102, Buffalo, MO 65622 | 2012-08-29 |
| 1457589293 | Benson Thomas Pyatt | Dentist | 1006 South Ash, Buffalo, MO 65622 | 2009-07-01 |
| 1124275482 | Premier Residential Care LLC | Assisted Living Facility | 967 North Maple, Buffalo, MO 65622 | 2008-08-19 |
| 1790887156 | Ed G Pyatt | Dentist | 1006 S Ash, Buffalo, MO 65622 | 2006-09-05 |
| 1497864136 | Christopher L Dugas | Chiropractor | 701 N Maple St, Buffalo, MO 65622 | 2006-08-29 |
| 1598019564 | Ashley Justine Perkins | Physical Therapist | 631 W Main St, Buffalo, MO 65622 | 2012-10-30 |
| 1790032332 | Sara E Hertzke-hill | Physician Assistant | 201 S Ash St, Buffalo, MO 65622 | 2012-08-14 |
| 1629103502 | Mercy Clinic-springfield Communities | Family Medicine | 118 W Dallas St, Buffalo, MO 65622 | 2007-02-22 |
| 1386789972 | Dallas County Health Department | Public Health or Welfare | 1011 W Main, Buffalo, MO 65622-0199 | 2007-02-21 |
| 1912276809 | Buffalo Prairie Dental | Dentist | 1006 S. Ash, Buffalo, MO 65622-0707 | 2011-12-21 |
| Find all providers in zip 65622 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467624114 | Soosaipillai G Jeyapalan Md Kpc | Clinic/Center | 550 N Legion Dr, Buffalo, NY 14210-2452 | 2008-04-01 |
| 1609080571 | Citizens Memorial Healthcare | Clinic/Center | 201 S Ash St, Buffalo, MO 65622-8674 | 2007-05-10 |
| 1639685464 | Cedar Pediatrics Pllc | Clinic/Center | 1010 Main St, Buffalo, NY 14202-1102 | 2017-12-15 |
| 1699216366 | Ehs Inc | Clinic/Center | 206 S Elmwood Ave, Buffalo, NY 14201-2398 | 2017-03-15 |
| 1770886467 | Iqbal A Samad PC | Clinic/Center | 2148 Main St, Buffalo, NY 14214-2668 | 2010-12-17 |
| 1073839486 | Wg Medical Pllc | Clinic/Center | 700 Michigan Ave, Suite 210, Buffalo, NY 14203-1536 | 2010-04-09 |
| 1346564739 | Ella Perry Medical PC | Clinic/Center | 191 North St, Suite 7, Buffalo, NY 14201-1510 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145668 | Essential Benefit Offerings, LLC | Clinic/Center | 1417 N Mount Auburn Rd Ste A2, Cape Girardeau, MO 63701-2171 | 2020-05-07 |
| 1114483468 | Your Optimal Healthcare LLC | Clinic/Center | 300 W 4th St Ste H, Eureka, MO 63025-1839 | 2019-02-12 |
| 1306313051 | Country Care Family Clinic, LLC | Clinic/Center | 3 E Cleveland Ave, Ellsinore, MO 63937 | 2018-10-31 |
| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1003324542 | Quad/med, LLC | Clinic/Center | 2015 Ne Jefferson Street, Grain Valley, MO 64029 | 2018-01-18 |
| 1093267601 | Careatc-saint Peter | Clinic/Center | 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 | 2016-10-30 |
| 1407303480 | Kerns Family Health Care LLC | Clinic/Center | 1335 Vilage Dr B, St. Joseph, MO 64506-2457 | 2016-09-07 |
| 1316491020 | Wecare Tlc - Wwt Mo Family Health Center | Clinic/Center | 58 Weldon Pkwy, Bldg 58, Maryland Heights, MO 63043-3237 | 2016-08-10 |
| 1255703500 | Community Hospital Association | Clinic/Center | 101 South Washington Street, Oregon, MO 64473 | 2015-10-27 |
| 1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
| 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.