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KATY TRAIL COMMUNITY HEALTH COLE CAMP R-1
NPI 1285288472
Clinic/Center - Federally Qualified Health Center (FQHC) in Cole Camp, MO

Active since July 26, 2019CLIA 26D1014838 · Waiver
500 S KEENEY ST, COLE CAMP, MO 65325(660) 668-4427(660) 827-8992 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katy Trail Community Health Cole Camp R-1 NPPES

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

KATY TRAIL COMMUNITY HEALTH COLE CAMP R-1 (NPI 1285288472) is a healthcare organization registered as a federally qualified health center (fqhc) in Cole Camp, Missouri and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through December 25, 2026 and lists Michael Waller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285288472
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameREGIONAL HEALTH CARE CLINIC, INC
Location Address500 S KEENEY STCole Camp, MO 65325-1059
Mailing Address821 Westwood DrSedalia, MO 65301-2102 · (660) 826-4774 · Fax (660) 827-8992
Phone(660) 668-4427
Fax(660) 827-8992
Organization SubpartYes
Authorized OfficialMichael WallerCeo · (660) 668-4427
Enumeration DateJuly 26, 2019
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1285288472 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
500 S KEENEY ST, Cole Camp, MO 65325
Open in Google Maps ↗

Other Names 1

Doing Business AsKaty Trail Community Health Cole Camp R-1

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katy Trail Community Health Cole Camp R-1 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

57

Medicare enrollment records show 57 clinicians reassign Medicare billing to Katy Trail Community Health Cole Camp R-1, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner25
Clinical Social Worker10
Dentist8
Family Practice6
Psychiatry3
Mental Health Counselor2
Pediatric Medicine2
Optometry1

Nearest to this location (20)

See all 57
Bruce Miller, LCSW
Clinical Social Worker
NPI 1801175229
17571 N DAM ACCESS RD
Warsaw, MO 65355
(660) 438-2717
✔ PECOS16 mi
Megan Rowland, NP
Nurse Practitioner
NPI 1194166520
17571 N DAM ACCESS RD
Warsaw, MO 65355
(660) 438-2717
✔ PECOS✔ Accepts Medicare16 mi
Keith Segall, DO
Family Practice
NPI 1639245368
17571 N DAM ACCESS RD
Warsaw, MO 65355
(660) 438-2717
✔ PECOS✔ Accepts Medicare16 mi
Peter Steadman, DMD
Dentist
NPI 1265922801
17571 N DAM ACCESS RD
Warsaw, MO 65355
(660) 438-2717
✔ PECOS16 mi
Madison Hohne, FNP
Nurse Practitioner
NPI 1245037662
3131 BRIANNA BLVD
Sedalia, MO 65301
(660) 460-3038
✔ PECOS✔ Accepts Medicare17 mi
Jenie Bruce, NP
Nurse Practitioner
NPI 1801223037
305 W MAIN ST
Sedalia, MO 65301
(660) 310-0909
✔ PECOS✔ Accepts Medicare17 mi
Mary Drenon, FNP
Nurse Practitioner
NPI 1790434413
305 W MAIN ST
Sedalia, MO 65301
(660) 310-0909
✔ PECOS✔ Accepts Medicare17 mi
Chauncey Haley, O.D.
Optometry
NPI 1619991692
305 W MAIN ST
Sedalia, MO 65301
(660) 310-0909
✔ PECOS✔ Accepts Medicare17 mi
Molly Boston, LCSW
Clinical Social Worker
NPI 1346717469
305 W MAIN ST
Sedalia, MO 65301
(660) 310-0909
✔ PECOS17 mi
Riley Anderson, DDS
Dentist
NPI 1255713509
821 WESTWOOD DR
Sedalia, MO 65301
(660) 826-4774
✔ PECOS18 mi
Jessica Arnold, LCSW
Clinical Social Worker
NPI 1285796672
821 WESTWOOD DR
Sedalia, MO 65301
(660) 826-4774
✔ PECOS✔ Accepts Medicare18 mi
Justin Cramer, M.D.
Family Practice
NPI 1114969292
821 WESTWOOD DR
Sedalia, MO 65301
(660) 826-4774
✔ PECOS✔ Accepts Medicare18 mi
Katherine Dumbell, DDS
Dentist
NPI 1316508732
821 WESTWOOD DR
Sedalia, MO 65301
(660) 826-4774
✔ PECOS18 mi
Rebecca Gunn, LPC
Mental Health Counselor
NPI 1013538560
821 WESTWOOD DR
Sedalia, MO 65301
(660) 826-4774
✔ PECOS✔ Accepts Medicare18 mi
Yasmin Jilla, M.D.
Psychiatry
NPI 1386804870
821 WESTWOOD DR
Sedalia, MO 65301
(660) 826-4774
✔ PECOS✔ Accepts Medicare18 mi
Leila Kashani, D.O.
Pediatric Medicine
NPI 1598025256
821 WESTWOOD DR
Sedalia, MO 65301
(660) 826-4774
✔ PECOS18 mi
Teri Lada, LPC
Mental Health Counselor
NPI 1407213077
821 WESTWOOD DR
Sedalia, MO 65301
(660) 826-4774
✔ PECOS✔ Accepts Medicare18 mi
Warren Weston, MD
Psychiatry
NPI 1821177262
821 WESTWOOD DR
Sedalia, MO 65301
(660) 826-4774
✔ PECOS✔ Accepts Medicare18 mi
Kevin Ree, DO
Family Practice
NPI 1376763094
821 WESTWOOD DR
Sedalia, MO 65301
(660) 826-4774
✔ PECOS✔ Accepts Medicare18 mi
Shanon Luke, MD
Pediatric Medicine
NPI 1255901898
1109 W CLAY RD
Versailles, MO 65084
(573) 378-2351
✔ PECOS19 mi
See all 57 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waiver 26D1014838

Katy Trail Community Health · Sedalia, MO
Active · expires Dec 25, 2026
CLIA Number26D1014838
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 26, 2024
Certificate Expiration DateDecember 25, 2026
Laboratory DirectorMary Dimarsico
Laboratory Phone(660) 826-4774
Laboratory LocationKaty Trail Community Health821 Westwood Drive, Sedalia, MO 65301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Regional Health Care Clinic, Inc's NPI number?

The NPI number for Regional Health Care Clinic, Inc is 1285288472. It was assigned to this organization in the NPPES registry on July 26, 2019. The provider is doing business as Katy Trail Community Health Cole Camp R-1.

Where is Regional Health Care Clinic, Inc located?

Regional Health Care Clinic, Inc is located at 500 S Keeney St, Cole Camp, MO 65325. The listed phone number is (660) 668-4427.

What is Regional Health Care Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Regional Health Care Clinic, Inc enrolled in Medicare?

Yes. Regional Health Care Clinic, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regional Health Care Clinic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 8 Medicare specialties reassign their Medicare billing to Regional Health Care Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (25), Clinical Social Worker (10) and Dentist (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Regional Health Care Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1014838) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Regional Health Care Clinic, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Regional Health Care Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Regional Health Care Clinic, Inc was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.