BURTON CREEK RURAL CLINIC, LLC
NPI 1003330713
Family Medicine in West Plains, MO

Active since August 03, 2017CLIA 26D0447478 · Certificate of Compliance
805 N KENTUCKY AVE, WEST PLAINS, MO 65775(417) 256-2111(417) 256-4858 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, Feb 5, 2026, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Burton Creek Rural Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURTON CREEK RURAL CLINIC, LLC (NPI 1003330713) is a healthcare organization registered as a family medicine in West Plains, Missouri and active in the NPI registry since August 2017. The organization holds a CLIA Certificate of Compliance certificate valid through December 26, 2027 and lists Theresa Christine Gregg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003330713
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBURTON CREEK RURAL CLINIC, LLC
Location Address805 N KENTUCKY AVEWest Plains, MO 65775-2022
Mailing Address805 N Kentucky AveWest Plains, MO 65775-2022 · (417) 256-2111 · Fax (417) 256-4858
Fax(417) 256-4858
Organization SubpartNo
Authorized OfficialTheresa Christine GreggCeo · (417) 256-2111
Enumeration DateAugust 3, 2017
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1003330713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
805 N KENTUCKY AVE, West Plains, MO 65775

Other Identifiers 1

Medicaid599022308MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 26D0447478

Burton Creek Rural Clinic · West Plains, MO
Active · expires Dec 26, 2027
CLIA Number26D0447478
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorJeffery Roylance
Laboratory Phone(417) 257-6162
Laboratory LocationBurton Creek Rural Clinic805 Kentucky Street, West Plains, MO 65775
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
805 N KENTUCKY AVE
WEST PLAINS, MO 65775
Nurse Practitioner (Family)
805 N KENTUCKY AVE
WEST PLAINS, MO 65775
Pharmacist
805 N KENTUCKY AVE, SUITE 2
WEST PLAINS, MO 65775
Family Medicine
805 N KENTUCKY AVE
WEST PLAINS, MO 65775
Family Medicine
805 N KENTUCKY AVE
WEST PLAINS, MO 65775
Emergency Medicine
805 N KENTUCKY AVE
WEST PLAINS, MO 65775
Physician Assistant
805 N KENTUCKY AVE
WEST PLAINS, MO 65775
Pharmacist
805 N KENTUCKY AVE, SUITE 2
WEST PLAINS, MO 65775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burton Creek Rural Clinic, LLC's NPI number?

The NPI number for Burton Creek Rural Clinic, LLC is 1003330713. It was assigned to this organization in the NPPES registry on August 3, 2017.

Where is Burton Creek Rural Clinic, LLC located?

Burton Creek Rural Clinic, LLC is located at 805 N Kentucky Ave, West Plains, MO 65775. The listed phone number is (417) 256-2111.

What is Burton Creek Rural Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Burton Creek Rural Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D0447478) is associated with this NPI, valid through December 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Burton Creek Rural Clinic, LLC was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.