MONTGOMERY COUNTY COMMUNITY CLINIC, INC (NPI# 1285896993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285896993 |
| Entity Type | Organization |
| Organization Name | MONTGOMERY COUNTY COMMUNITY CLINIC, INC |
| Other Organization Name | FIRST PRESBYTERIAN CHURCH DBA MONTGOMERY COUNTY COMMUNITY CLINIC |
| Practice Address |
900 W Myrtle St Suite 105 Independence KS 67301-3242 |
| Mailing Address |
Po Box 612 Independence KS 67301-0612 |
| Practice Telephone | 6203318190 |
| Practice Fax Number | 6206524143 |
| Mailing Telephone | 6203318190 |
| Mailing Fax Number | 6206524143 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. SUSAN V.M. KLEINBECK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6203318190 |
| Authorized Official Credential | RN, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NONE REQUIRED | KS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| First Presbyterian Church dba Montgomery County Community Clinic | Doing Business As Name - Organization |
| Street Address |
900 W MYRTLE ST SUITE 105 |
| City | INDEPENDENCE |
| State | KS |
| Zip Code | 67301-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952339459 | Jeannine M Cobb | Obstetrics & Gynecology | 900 W Myrtle St, Suite 105, Independence, KS 67301-3242 | 2006-06-30 |
| 1174754220 | Mary Ann Garner | Nurse Practitioner | 900 W Myrtle St, Independence, KS 67301-3242 | 2009-08-06 |
| 1598879603 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 900 W Myrtle St, Ste 100, Independence, KS 67301-3263 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1801180070 | Jeffrey Neil Carnes | Counselor | 1101 Donald Avenue, Independence, KS 67301 | 2011-06-06 |
| 1699099077 | Four County Mental Health Center | Home Health | 415 Fruitland, Independence, KS 67301 | 2010-03-15 |
| 1558570234 | Rahab M Nduati | Occupational Therapist | 1000 W Mulberry Street, Independence, KS 67301 | 2007-05-21 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| 1699836650 | Dacia Christine Thiele | Social Worker | 200 Arco Suite 501, Independence, KS 67301 | 2006-12-13 |
| 1134157167 | Carl L Mitchell Jr. | Social Worker | 220 E. Chestnut, Independence, KS 67301 | 2006-06-29 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1649767112 | Rachael Dawn Miles | Counselor | 3751 W Main St, Independence, KS 67301 | 2018-04-19 |
| Find all providers in zip 67301 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861511859 | Heartland Medical Care PC | Clinic/Center | 10010 E Truman Road, Independence, MO 64052 | 2007-03-28 |
| 1386739035 | Primary Care Center of Kansas City LLC | Clinic/Center | 4741 S Arrowhead, Suite B, Independence, MO 64055 | 2006-10-04 |
| 1245785740 | Family Care & Wellness LLC | Clinic/Center | 19101 E Valley View Pkwy, Suite D, Independence, MO 64055-6904 | 2016-08-24 |
| 1205236023 | Cleveland Clinic | Clinic/Center | 5001 Rockside Rd, Independence, OH 44131-2172 | 2014-08-28 |
| 1063698827 | Medbasics Missouri LLC | Clinic/Center | 4201 S Noland Rd, Independence, MO 64055-7313 | 2008-01-10 |
| 1912014929 | Mercy Kansas Communities Inc | Clinic/Center | 800 W Laurel St, Independence, KS 67301-3211 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184275588 | Careatc | Clinic/Center | 6700 College Blvd Ste 100, Overland Park, KS 66211-1525 | 2019-09-26 |
| 1619528643 | Careatc | Clinic/Center | 7570 W 21st St N Bldg 1006, Wichita, KS 67205-1734 | 2019-09-20 |
| 1467910034 | Amanda Delise Huerta | Clinic/Center | 4134 Eaton St Apt 3, Kansas City, KS 66103-3345 | 2019-03-03 |
| 1104397124 | Bridges Healthcare Inc | Clinic/Center | 313 S. Market Street, Wichita, KS 67202 | 2018-12-17 |
| 1689157000 | Runyan Family Practice LLC | Clinic/Center | 520 S Holland St Ste 403, Wichita, KS 67209-2060 | 2018-09-11 |
| 1740781848 | Medlen Family Care | Clinic/Center | 115 W Peoria St, Paola, KS 66071-1411 | 2018-02-23 |
| 1417481078 | Salina Health Education Foundation | Clinic/Center | 142 S 7th St, Salina, KS 67401-7408 | 2017-04-20 |
| 1477002467 | Careatc Qt Overland Park | Clinic/Center | 6700 College Blvd, Suite 100, Overland Park, KS 66211-1525 | 2016-10-02 |
| 1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
| 1093166803 | Topeka Consulting Physicians | Clinic/Center | 3520 Sw Alameda Dr, Topeka, KS 66614-5110 | 2016-06-23 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 67301 |
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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.