ST. JOSEPH FAMILY MEDICAL CLINIC, INC.
NPI 1700858180
Specialist in Saint Joseph, MO

Active since February 01, 2006
2120 S RIVERSIDE RD, SAINT JOSEPH, MO 64507(816) 671-1331(816) 676-1311 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Joseph Family Medical Clinic, Inc. NPPES

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

ST. JOSEPH FAMILY MEDICAL CLINIC, INC. (NPI 1700858180) is a healthcare organization registered as a specialist in Saint Joseph, Missouri and active in the NPI registry since February 2006. The organization lists Marilyn Rose Johnson, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1700858180
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameST. JOSEPH FAMILY MEDICAL CLINIC, INC.
Location Address2120 S RIVERSIDE RDSaint Joseph, MO 64507-2535
Mailing Address2120 S Riverside RdSaint Joseph, MO 64507-2535 · (816) 671-1331 · Fax (816) 676-1311
Fax(816) 676-1311
Organization SubpartNo
Authorized OfficialMarilyn Rose JohnsonBusiness Manager · (816) 671-1331
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJune 27, 2008
NPI 1700858180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2120 S RIVERSIDE RD, Saint Joseph, MO 64507

Other Identifiers 3

Medicare ID-Type UnspecifiedH980000MO
Medicaid503971103MO
Other24542019MO · Group # For Bcbs Kc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Family Medicine
2120 S RIVERSIDE RD
SAINT JOSEPH, MO 64507
Family Medicine
2120 S RIVERSIDE RD
SAINT JOSEPH, MO 64507

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 St. Joseph Family Medical Clinic, Inc.'s NPI number?

The NPI number for St. Joseph Family Medical Clinic, Inc. is 1700858180. It was assigned to this organization in the NPPES registry on February 1, 2006.

Where is St. Joseph Family Medical Clinic, Inc. located?

St. Joseph Family Medical Clinic, Inc. is located at 2120 S Riverside Rd, Saint Joseph, MO 64507. The listed phone number is (816) 671-1331.

What is St. Joseph Family Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for St. Joseph Family Medical Clinic, Inc. was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.