KATY TRAIL - PRAIRIE HILLS
NPI 1053694422
Clinic/Center - Federally Qualified Health Center (FQHC) in Versailles, MO

Active since September 22, 2011
1109 CLAY RD., VERSAILLES, MO 65084(573) 378-2351 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2020, Nov 1, 2016, Sep 2, 2016 (3 updates tracked since 2016).

About Katy Trail - Prairie Hills NPPES

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

KATY TRAIL - PRAIRIE HILLS (NPI 1053694422) is a healthcare organization registered as a federally qualified health center (fqhc) in Versailles, Missouri and active in the NPI registry since September 2011. The organization lists Michael Waller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053694422
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameREGIONAL HEALTH CARE CLINIC, INC
Location Address1109 CLAY RD.Versailles, MO 65084
Mailing Address821 Westwood DrSedalia, MO 65301-2102 · (660) 826-4774 · Fax (660) 826-1300
Organization SubpartNo
Authorized OfficialMichael WallerCeo · (573) 378-2351
Enumeration DateSeptember 22, 2011
Last NPPES UpdateFebruary 21, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2024
NPI 1053694422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1109 CLAY RD., Versailles, MO 65084

Other Names 1

Doing Business AsKaty Trail - Prairie Hills

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053694422, enumerated as an "organization" on September 22, 2011.

The provider is located at 1109 CLAY RD. VERSAILLES, MO 65084 and the phone number is (573) 378-2351.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.