CREATIVE ENTERPRISES OF CLARENCE (NPI# 1700108990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700108990 |
| Entity Type | Organization |
| Organization Name | CREATIVE ENTERPRISES OF CLARENCE |
| Other Organization Name | CAROL TIMMONS CLINIC |
| Practice Address |
101 N Center St Clarence MO 63437-1701 |
| Mailing Address |
210 S Shelby St Clarence MO 63437-2105 |
| Practice Telephone | 6606992240 |
| Mailing Telephone | 6606516961 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2012-12-19 |
| Authorized Official Name | JOHN D TIMMONS (OWNER) |
| Authorized Official Telephone | 6606516961 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
092882 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
092882 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
092882 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Carol Timmons Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598017550 | Creative Enterprises of Clarence | Clinic/Center | 101 N Center St, Clarence, MO 63437-1701 | 2012-10-15 |
| Street Address |
101 N CENTER ST |
| City | CLARENCE |
| State | MO |
| Zip Code | 63437-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877399 | Peoples Shaw LLC | Clinic/Center | 101 N Center St, Clarence, MO 63437-1701 | 2019-02-12 |
| 1609341502 | Allison Peoples Shaw | Nurse Practitioner | 101 N Center St, Clarence, MO 63437-1701 | 2018-10-06 |
| 1598017550 | Creative Enterprises of Clarence | Clinic/Center | 101 N Center St, Clarence, MO 63437-1701 | 2012-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275752 | Bryce William Johnston | Chiropractor | 119 W Chestnut, Clarence, MO 63437 | 2017-10-02 |
| 1336650936 | Nemo Chiropractic, LLC | Clinic/Center | 119 W Chestnut, Clarence, MO 63437 | 2017-10-23 |
| 1184764573 | N E Mo Closed Door Pharmacy L L C | Pharmacy | 214b N Grand St, Clarence, MO 63437-1604 | 2007-02-07 |
| 1962403592 | Johnston Drug Inc | Pharmacy | 214 N Grand St, Clarence, MO 63437-1604 | 2005-08-04 |
| 1730637604 | Alicyn Grace Magruder | Pharmacist | 214 N Grand St, Clarence, MO 63437-1604 | 2016-09-20 |
| 1609242304 | Lynn Mcnaul | Pharmacist | 214 N Grand St, Clarence, MO 63437-1604 | 2015-08-17 |
| 1558768648 | James Johnston | Pharmacist | 214 N Grand St, Clarence, MO 63437-1604 | 2014-12-04 |
| 1306124375 | Youthtrans L.l.c | Community/Behavioral Health | 215 N Grand St, Clarence, MO 63437-1609 | 2011-07-25 |
| 1689666778 | Carol Timmons | Nurse Practitioner | 109 N Shelby St, Po Box 132, Clarence, MO 63437-1712 | 2005-08-16 |
| 1437158060 | Clarence Nursing Home District | Skilled Nursing Facility | 111 East St, Clarence, MO 63437-1902 | 2005-07-15 |
| Find all providers in zip 63437 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598017550 | Creative Enterprises of Clarence | Clinic/Center | 101 N Center St, Clarence, MO 63437-1701 | 2012-10-15 |
| 1194760561 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 411 1st Ave, Clarence, IA 52216-9744 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 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.