KATY TRAIL - PRAIRIE HILLS – NPI #1053694422
Clinic/Center
KATY TRAIL - PRAIRIE HILLS is an AHC clinic located in VERSAILLES, MO. NPPES has assigned the NPI number 1053694422 to KATY TRAIL - PRAIRIE HILLS on September 22, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KATY TRAIL - PRAIRIE HILLS” is a dba name, the actual legal business name for this organization is REGIONAL HEALTH CARE CLINIC, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)
The NPI profile was previously updated about 2 years ago on Feb 21, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATY TRAIL - PRAIRIE HILLS below.
NPI Profile for
REGIONAL HEALTH CARE CLINIC, INC
(more than 14 years ago)
VERSAILLES, MO 65084 Phone: (573) 378-2351 Fax:
SEDALIA, MO 65301-2102 Phone: (660) 826-4774 Fax: (660) 826-1300
CEO
Phone: (573) 378-2351
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for KATY TRAIL - PRAIRIE HILLS
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE PART B | MA3685 | |
| MEDICAID | MO | 1053694422 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
MO |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.