LAKE AREA PRIMARY CARE CLINIC – NPI #1386728798
Clinic/Center

LAKE AREA PRIMARY CARE CLINIC is an AHC clinic located in WHEATLAND, MO. NPPES has assigned the NPI number 1386728798 to LAKE AREA PRIMARY CARE CLINIC on October 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKE AREA PRIMARY CARE CLINIC” is a dba name, the actual legal business name for this organization is ST. CLAIR COUNTY HOSPITAL DISTRICT #1. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 12 years ago on Apr 09, 2014. 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 LAKE AREA PRIMARY CARE CLINIC below.

NPI Profile for
ST. CLAIR COUNTY HOSPITAL DISTRICT #1

NPI Number
1386728798
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. CLAIR COUNTY HOSPITAL DISTRICT #1
Doing Business As (dba): LAKE AREA PRIMARY CARE CLINIC
Primary location
HWY 54 EAST
WHEATLAND, MO 65779
Phone: (417) 282-5882 Fax: (417) 282-5681
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARY SMILEY
CEO
Phone: (417) 646-8181
Updated
Identifiers

Identifiers for LAKE AREA PRIMARY CARE CLINIC

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.

DescriptionIssuerStateIdentifier
MEDICAIDMO505985200
Taxonomy Code(s)

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
261QR1300X
- Clinic/Center / Rural Health (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.