REGIONAL HEALTH CARE CLINIC INC NPI 1922057504

NPI Information

NPI: 1922057504
Provider Name: REGIONAL HEALTH CARE CLINIC INC

Doing Business As: KATY TRAIL COMMUNITY HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
821 WESTWOOD DR
SEDALIA, MO
ZIP 65301
Phone: (660) 826-4774
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REGIONAL HEALTH CARE CLINIC INC is a federally qualified health center (fqhc) clinic center in Sedalia, MO. REGIONAL HEALTH CARE CLINIC INC NPI is 1922057504. The provider is registered as an organization entity type.
The provider Is Doing Business As Katy Trail Community Health.

The provider's business location address is:

821 WESTWOOD DR
SEDALIA, MO
ZIP 65301-102
Phone: (660) 826-4774
Fax: (660) 826-1300

The provider's authorized official is Michael Waller .
The authorized official title is Ceo and has the following contact phone number (660) 826-4774.

The CLIA number assigned to this NPI record is 26D1014838 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 2/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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