STOCKTON LAKE WALKIN CLINIC
NPI 1861706434
Point of Service in Stockton, MO

Q: What is Level 4 Medical Professional Corporation's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Active since August 05, 2010

913 SOUTH ST, STOCKTON, MO 65785(417) 809-8620 Get Directions Write a Review

NPPES record last updated: January 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stockton Lake Walkin Clinic NPPES

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

STOCKTON LAKE WALKIN CLINIC (NPI 1861706434) is a healthcare organization registered as a point of service in Stockton, Missouri and active in the NPI registry since August 2010. The organization lists David E Smock, Owner, as its authorized official.

NPPES Registry Identity

NPI1861706434

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameLEVEL 4 MEDICAL PROFESSIONAL CORPORATION

Location Address913 SOUTH STStockton, MO 65785-9381

Mailing Address913 South StStockton, MO 65785-9307 · (417) 809-8620

Phone(417) 809-8620

Organization SubpartNo

Authorized OfficialDavid E SmockOwner · (928) 503-4261

Enumeration DateAugust 5, 2010

Last NPPES UpdateJanuary 29, 2015

✔ NPI 1861706434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in MO · 2003017056

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

913 SOUTH ST, Stockton, MO 65785

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Other Names 1

Doing Business AsStockton Lake Walkin Clinic

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 Level 4 Medical Professional Corporation's NPI number?

The NPI number for Level 4 Medical Professional Corporation is 1861706434. It was assigned to this organization in the NPPES registry on August 5, 2010. The provider is doing business as Stockton Lake Walkin Clinic.

Where is Level 4 Medical Professional Corporation located?

Level 4 Medical Professional Corporation is located at 913 South St, Stockton, MO 65785. The listed phone number is (417) 809-8620.

What is Level 4 Medical Professional Corporation's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Level 4 Medical Professional Corporation was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.