HARRISONVILLE FAMILY MEDICINE, INC. – NPI #1891715652
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

HARRISONVILLE FAMILY MEDICINE, INC. is a provider located in HARRISONVILLE, MO. NPPES has assigned the NPI number 1891715652 to HARRISONVILLE FAMILY MEDICINE, INC. on July 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jan 13, 2026. 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 HARRISONVILLE FAMILY MEDICINE, INC. below.

NPI Profile for
HARRISONVILLE FAMILY MEDICINE, INC.

NPI Number
1891715652
Enumeration Date

(about 20 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
HARRISONVILLE FAMILY MEDICINE, INC.
Primary location
2820 E ROCK HAVEN RD
SUITE 100
HARRISONVILLE, MO 64701-4411
Phone: (816) 380-3582 Fax: (816) 380-6964
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHAUN HOLDEN
PRESIDENT
Phone: (816) 380-3582
Updated
Certification Date
Jan 13, 2026

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

Identifiers for HARRISONVILLE FAMILY MEDICINE, INC.

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
otherBLUE CROSS BLUE SHIELD24999018
otherRAILROAD MEDICARECS2185
medicaidMO504598905
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
207Q00000X
- Family Medicine (Primary)
335E00000X
- Prosthetic/Orthotic Supplier		 MO
207R00000X
- Internal Medicine

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.