SIKESTON URGENT CARE, PC (NPI# 1346246410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346246410 |
Entity Type | Organization |
Organization Name | SIKESTON URGENT CARE, PC |
Other Organization Name | ESSEX URGENT CARE |
Practice Address |
201 North Cypress Essex MO 63846 |
Practice Telephone | 5732835050 |
Practice Fax Number | 5732835051 |
Mailing Telephone | 5732835050 |
Mailing Fax Number | 5732835051 |
Enumeration Date | 2005-06-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ALYWIN KLUTTZ (OWNER) |
Authorized Official Telephone | 5732835050 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
268913 | MO | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
ESSEX URGENT CARE | Doing Business As Name - Organization |
Street Address |
201 NORTH CYPRESS |
City | ESSEX |
State | MO |
Zip Code | 63846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073655247 | Richland Reorganized R-i School District | Local Education Agency (LEA) | 24456 State Highway 114, Essex, MO 63846-6119 | 2007-02-13 |
1760687529 | Essex Residential Care | Assisted Living Facility | 24898 State Highway Ab, Essex, MO 63846-8167 | 2007-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356948228 | Quinntell Lay | Behavior Technician | 1114 Tace Dr Apt 3b, Essex, MD 21221-5788 | 2020-10-05 |
1053926741 | Pass Maryland Inc | Peer Specialist | 64 Landmark Ct, Essex, MD 21221-3042 | 2020-09-10 |
1932717816 | Amy Fraser | Physician Assistant | 17 County Rd, Essex, MA 01929-1128 | 2020-07-16 |
1104434083 | Takesha Franklin | Registered Nurse | 1248 S Marlyn Ave, Essex, MD 21221-5950 | 2020-07-16 |
1770101495 | Sharlimar Denise Jefferson | Behavior Technician | 51 Marice Cir, Essex, MD 21221-5814 | 2020-07-09 |
1699390153 | Kimberly A Austin | Behavioral Analyst | 2 Cloverwood Ct Unit 302, Essex, MD 21221-7366 | 2020-06-10 |
1972126340 | Anna Rich | Counselor | 4 Eastern Ave, Essex, MA 01929-1306 | 2020-05-20 |
1760004261 | So Md Mobile Phlebotomy Services | Technician, Pathology | 943 Walnut Grove Rd, Essex, MD 21221-5906 | 2020-05-07 |
1013544642 | Kathleen A Quill | Behavioral Analyst | 3 Essex Reach Rd, Essex, MA 01929-1448 | 2020-03-24 |
1457988321 | Amy Bliss Tenney | Music Therapist | 816 Cedar Ave, Essex, MD 21221-6002 | 2020-03-23 |
Find all providers in ESSEX |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
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.