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MOSAIC SPECIALTY CARE - EAST
NPI 1598239790
Clinic/Center - Rural Health in Maryville, MO

Active since January 22, 2019CLIA 26D0444865 · Waiver
114 E SOUTH HILLS DR, MARYVILLE, MO 64468(660) 562-2525(660) 562-4303 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2019, Mar 1, 2019, Jan 22, 2019 (3 updates tracked since 2019).

About Mosaic Specialty Care - East NPPES

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

MOSAIC SPECIALTY CARE - EAST (NPI 1598239790) is a healthcare organization registered as a rural health in Maryville, Missouri and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Dwight R Carvell, Director Of Reimburement, as its authorized official.

NPPES Registry Identity

NPI1598239790
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOSAIC MEDICAL CENTER - MARYVILLE
Location Address114 E SOUTH HILLS DRMaryville, MO 64468-2659
Mailing Address114 E South Hills DrMaryville, MO 64468-2659 · (660) 562-2525 · Fax (660) 562-4303
Phone(660) 562-2525
Fax(660) 562-4303
Organization SubpartNo
Authorized OfficialDwight R CarvellDirector Of Reimburement · (816) 273-0473
Enumeration DateJanuary 22, 2019
Last NPPES UpdateJune 10, 20193 updates tracked since enumeration
✔ NPI 1598239790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
114 E SOUTH HILLS DR, Maryville, MO 64468
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Other Names 1

Doing Business AsMosaic Specialty Care - East

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

Accepted Insurance

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

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 26D0444865

Mosaic Specialty Care - East · Maryville, MO
Active · expires Aug 13, 2027
CLIA Number26D0444865
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorLori Snook
Laboratory Phone(660) 562-2525
Laboratory LocationMosaic Specialty Care - East114 East South Hills Drive, Maryville, MO 64468
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MR. ILYA O STAGNER FNP-C
Nurse Practitioner (Family)
114 E SOUTH HILLS DR
MARYVILLE, MO 64468
Nodaway County (660) 562-4304
VICKI LEE THOMPSON LCSW
Social Worker (Clinical)
114 E SOUTH HILLS DR
MARYVILLE, MO 64468
Nodaway County (660) 562-2525
MARTHA R. MUSTION F.N.P.
Nurse Practitioner (Family)
114 E SOUTH HILLS DR
MARYVILLE, MO 64468
Nodaway County (660) 562-2525
DR. AMRIT P. SINGH M.D.
Internal Medicine
114 E SOUTH HILLS DR
MARYVILLE, MO 64468
Nodaway County (660) 562-2525
MRS. KRISTINE K KRAMER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
114 E SOUTH HILLS DR
MARYVILLE, MO 64468
Nodaway County (660) 562-2525
HOLLY MARIE MCMILLEN LPC
Counselor (Mental Health)
114 E SOUTH HILLS DR
MARYVILLE, MO 64468
Nodaway County (660) 562-4305
DR. ALEJANDRO A. AMANTE M.D.
Psychiatry & Neurology (Psychiatry)
114 E SOUTH HILLS DR
MARYVILLE, MO 64468
Nodaway County (660) 562-4305
ATHENA R THOMPSON
Social Worker (Clinical)
114 E SOUTH HILLS DR
MARYVILLE, MO 64468
Nodaway County (660) 562-4304

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 Mosaic Medical Center - Maryville's NPI number?

The NPI number for Mosaic Medical Center - Maryville is 1598239790. It was assigned to this organization in the NPPES registry on January 22, 2019. The provider is doing business as Mosaic Specialty Care - East.

Where is Mosaic Medical Center - Maryville located?

Mosaic Medical Center - Maryville is located at 114 E South Hills Dr, Maryville, MO 64468. The listed phone number is (660) 562-2525.

What is Mosaic Medical Center - Maryville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mosaic Medical Center - Maryville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0444865) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mosaic Medical Center - Maryville accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Mosaic Medical Center - Maryville 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 Mosaic Medical Center - Maryville was last updated on June 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.