KNEIBERT CLINIC LLC (NPI# 1821240896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821240896 |
Entity Type | Organization |
Organization Name | KNEIBERT CLINIC LLC |
Practice Address |
686 Lester St Poplar Bluff MO 63901-5025 |
Practice Telephone | 5736862411 |
Mailing Telephone | 5736862411 |
Enumeration Date | 2008-10-21 |
Last Update Date | 2008-10-21 |
Authorized Official Name | TOM R WARNER (ASST ADMINISTRATOR) |
Authorized Official Telephone | 5737787175 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 161274722 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275511859 | Kneibert Clinic LLC | Clinic/Center | 2588 N Westwood Blvd, Poplar Bluff, MO 63901 | 2006-01-04 |
1225196058 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63901 | 2006-12-05 |
1558448688 | Kneibert Clinic LLC | Eyewear Supplier (Equipment, not the service) | 686 Lester St, Suite 101, Poplar Bluff, MO 63901-5025 | 2006-11-01 |
1811975436 | Kneibert Clinic LLC | Durable Medical Equipment & Medical Supplies | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
1386622959 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63902 | 2006-01-04 |
1104804699 | Kneibert Clinic LLC | Family Medicine | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
1912985409 | Kneibert Clinic LLC | Clinical Medical Laboratory | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
1174501662 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
Street Address |
686 LESTER ST |
City | POPLAR BLUFF |
State | MO |
Zip Code | 63901-5025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598743122 | Jeffry T Till | Social Worker | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
1083181416 | Elizabeth Ann L'heureux | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2018-10-24 |
1871026005 | Saint Francis Medical Center | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2017-04-05 |
1356706378 | Saint Francis Medical Center | Psychologist | 686 Lester St, Poplar Bluff, MO 63901 | 2015-12-17 |
1063808145 | Jennie Mabrey | Hearing Instrument Specialist | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2015-04-15 |
1417379488 | Chris E Martin | Social Worker | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2014-01-10 |
1740592435 | Michael Dewayne Roach | Family Medicine | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-07-09 |
1205168374 | Stacey E Bruce | Social Worker | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-02-01 |
1659606713 | Jill M Mcgruder | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2009-10-07 |
1124294269 | Andrea Lovelace | Pharmacist | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2008-05-07 |
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---|---|---|---|---|
1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
Find all providers in zip 63901 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982930749 | Allen Chiropractic Wellness Center | Clinic/Center | 1018 S Westwood Blvd, Suite 5, Poplar Bluff, MO 63901-6108 | 2009-10-28 |
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1154931517 | Marvin Optometry, P.C. | Clinic/Center | 1405 S Hanley Rd Ste B, Saint Louis, MO 63144-2902 | 2020-07-31 |
1184242067 | Viola Marie Martin | Clinic/Center | 929 N Highway 71, Anderson, MO 64831-9753 | 2020-07-08 |
1497379358 | Innovative Occupational Therapy Solutions | Clinic/Center | 1044 Poplar Dr, Saint Louis, MO 63125-5022 | 2020-06-05 |
1366089443 | Gilligan Nutrition Counseling LLC | Clinic/Center | 10104 Conway Rd, Saint Louis, MO 63124-1240 | 2019-12-08 |
1063053445 | Jason T Vollmecke Dc LLC | Clinic/Center | 12500 E Us Highway 40 Ste K, Independence, MO 64055-5947 | 2019-10-07 |
1003469982 | Tms Institute of White Oak Psychiatry LLC | Clinic/Center | 4045 Ne Lakewood Way Ste 130a, Lees Summit, MO 64064-1799 | 2019-07-19 |
1053875716 | Columbia Health & Wellness Center, LLC | Clinic/Center | 3304 W Broadway Business Park Ct Ste I, Columbia, MO 65203-0109 | 2019-01-28 |
1518432996 | Rejuvenating Counseling Services LLC | Clinic/Center | 1305 Sw Pebble Ln, Lees Summit, MO 64082-4418 | 2018-10-11 |
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City | POPLAR BLUFF |
Zip Code | 63901 |
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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.