MACON COUNTY SHELTERED WORKSHOP (NPI# 1679100507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679100507 |
| Entity Type | Organization |
| Organization Name | MACON COUNTY SHELTERED WORKSHOP |
| Practice Address |
1103 Enterprise Rd Macon MO 63552-1305 |
| Practice Telephone | 6603853111 |
| Practice Fax Number | 6603959578 |
| Mailing Telephone | 6603853111 |
| Mailing Fax Number | 6603959578 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Authorized Official Name | ELLEN D SPIDLE (OFFICE MANAGER) |
| Authorized Official Telephone | 6603853111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347C00000X | Private Vehicle | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | M857758502 | 05 |
| Other Name | Type Code |
|---|---|
| Macon Diversified Industries | Doing Business As Name - Organization |
| Street Address |
1103 ENTERPRISE RD |
| City | MACON |
| State | MO |
| Zip Code | 63552-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1538270384 | James A Wilson | Dentist | 509 S Missouri St, Macon, MO 63552-1338 | 2006-08-31 |
| Find all providers in zip 63552 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215173083 | Medport Transportation | Private Vehicle | 385 Rogers Ave, Macon, GA 31204-2544 | 2008-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686266 | Tahnee Glenn | Private Vehicle | 1618 Orleans Cir Apt 1c, Kansas City, MO 64116-3345 | 2020-07-20 |
| 1245874577 | Stanley Von Alcorn | Private Vehicle | 15764 State Highway J, Campbell, MO 63933-8234 | 2019-10-30 |
| 1396386272 | Edna Marie Byrd | Private Vehicle | 5603 Bartmer Ave, Saint Louis, MO 63112-2803 | 2019-10-02 |
| 1427612134 | Holland Residential Services, Inc. | Private Vehicle | 12510 Jackson Ave, Grandview, MO 64030-1593 | 2019-04-28 |
| 1063975423 | Charles Edward Wiseman | Private Vehicle | 8091 Sw 4th St, Blue Springs, MO 64014-7846 | 2019-04-11 |
| 1427523661 | Tfl, Inc. | Private Vehicle | 1000 Saint Marys Blvd, Jefferson City, MO 65109-1412 | 2018-10-03 |
| 1780183434 | Tianna L Smith | Private Vehicle | 439 Fassen St, Saint Louis, MO 63111-1912 | 2018-02-08 |
| 1093221749 | Lettuce Dream | Private Vehicle | 1623 E 2nd St, Maryville, MO 64468-1959 | 2017-12-18 |
| 1033663687 | Hali Express Transportation | Private Vehicle | 3024 Wabash Ave, Kansas City, MO 64109-2172 | 2016-08-12 |
| 1487001574 | Jewel Jeffries | Private Vehicle | 9756 Dennis Dr, Saint Louis, MO 63136-1902 | 2016-05-18 |
| 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.