IMMEDIATE HEALTHCARE KINGS HIGHWAY
NPI 1639252968
Non-Pharmacy Dispensing Site in Cape Girardeau, MO

NPI Status: Active since October 23, 2006

Contact Information

1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 339-2000
Fax: (573) 339-1876

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  • Organization
  • Non-Pharmacy Dispensing Site

About IMMEDIATE HEALTHCARE KINGS HIGHWAY

This page provides the complete NPI Profile along with additional information for Immediate Healthcare Kings Highway, a provider established in Cape Girardeau, Missouri operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1639252968 assigned on October 2006. The practitioner's primary taxonomy code is 332900000X with license number R2J89 (MO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Immediate Healthcare Kings Highway. The authorized official of this NPI record is Direndia Shackelford (Managed Care Specialist)

NPI
1639252968
Provider Legal Name
IMMEDIATE HEALTHCARE KINGS HIGHWAY
Other Organization Name
IMMEDIATE HEALTHCARE KINGS HIGHWAY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1702 N KINGSHIGHWAY ST CAPE GIRARDEAU, MO 63701
Location Phone
(573) 339-2000
Location Fax
(573) 339-1876
Mailing Address
1702 N KINGSHIGHWAY ST CAPE GIRARDEAU, MO 63701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
R2J89
License State
MO
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIRENDIA SHACKELFORD

Authorized Official Title
MANAGED CARE SPECIALIST
Authorized Official Phone
(800) 654-0889

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2633471OTHER (01)OTHER ID NUMBER-COMMERCIAL NUMBER

Reviews for IMMEDIATE HEALTHCARE KINGS HIGHWAY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639252968
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669454912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 5 + 4 + 9 + 1 + 2 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1639252968 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154463057IMMEDIATE HEALTHCARE, INC.
Organization
Family Medicine1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1881724870HOFF MEDICAL CLINIC, P.C.
Organization
Family Medicine1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1164750964IMMEDIATE CONVENIENT CARE LLC
Organization
Family Medicine1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1356476683 RONALD L ROBINSON M.D.
Individual
Emergency Medicine1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1558305789 SAMUEL W FERRERI MD
Individual
Family Medicine1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-0483
1952564619 DAMIAN R DYER MD
Individual
Preventive Medicine (Occupational Medicine)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1215938568 LORI G KOLWYCK LCSW
Individual
Social Worker (Clinical)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1760453369 NICOLE HUCKABEE
Individual
Nurse Practitioner1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-0483
1407829716 BOBBI J PALMER FNP-C
Individual
Nurse Practitioner (Family)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-0483
1740514546MRS. TIA M RADEMAKER FNP-BC
Individual
Nurse Practitioner (Family)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1902951429 REGINA LEWIS FNP
Individual
Nurse Practitioner (Family)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1407306798 HEATHER NICOLE SCHENIMANN APRN
Individual
Nurse Practitioner (Family)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1417369331 TERESA NAGEL FNP
Individual
Nurse Practitioner (Family)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1700339694MRS. LISA DIANE MILLER FNP-C
Individual
Nurse Practitioner (Family)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1679050132MRS. ALICIA FAYE GREEN APRN, FNP-C
Individual
Nurse Practitioner1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1114438447MRS. NATELIE RACHELLE FRAZIER-COOK APRN, FNP-BC
Individual
Nurse Practitioner1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1063945293SAINT FRANCIS MEDICAL CENTER
Organization
Clinic/Center1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1518372481SAINT FRANCIS MEDICAL CENTER
Organization
Clinic/Center (Rural Health)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1013511021MS. AMY LEE FEATHERSTON FNP-C
Individual
Nurse Practitioner (Family)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000
1457068280MRS. BAILY DAWN COMPAS APRN-FNP
Individual
Nurse Practitioner (Family)1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 63701
(573) 339-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639252968, enumerated in the NPI registry as an "organization" on October 23, 2006

The provider is located at 1702 N Kingshighway St Cape Girardeau, Mo 63701 and the phone number is (573) 339-2000

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.