1. Home
  2. Directory
  3. Missouri
  4. Hallsville
  5. Clinic Center
  6. NPI Profile

RETIRED
NPI 1962818435
Clinic/Center - Medical Specialty in Hallsville, MO

Active since July 06, 2014
13714 N SPORTSMANS DR, HALLSVILLE, MO 65255(573) 696-2391 Get Directions Write a Review

NPPES record last updated: July 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Retired NPPES

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

RETIRED (NPI 1962818435) is a healthcare organization registered as a medical specialty in Hallsville, Missouri and active in the NPI registry since July 2014. The organization lists Herb Bastow, Urologist, as its authorized official.

NPPES Registry Identity

NPI1962818435
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameRETIRED
Location Address13714 N SPORTSMANS DRHallsville, MO 65255-9330
Mailing Address13714 N Sportsmans DrHallsville, MO 65255-9330 · (573) 696-2391
Phone(573) 696-2391
Organization SubpartNo
Authorized OfficialHerb BastowUrologist · (573) 696-2391
Enumeration DateJuly 6, 2014
✔ NPI 1962818435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MO · R5108
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
13714 N SPORTSMANS DR, Hallsville, MO 65255
Open in Google Maps ↗

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 Retired's NPI number?

The NPI number for Retired is 1962818435. It was assigned to this organization in the NPPES registry on July 6, 2014.

Where is Retired located?

Retired is located at 13714 N Sportsmans Dr, Hallsville, MO 65255. The listed phone number is (573) 696-2391.

What is Retired's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Retired was last updated on July 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.