Provider Demographics
NPI:1003824061
Name:PARKLAND HEALTH CENTER
Entity Type:Organization
Organization Name:PARKLAND HEALTH CENTER
Other - Org Name:PARKLAND HEALTH CENTER - FARMINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNABEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-760-8280
Mailing Address - Street 1:1101 W LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63640-1921
Mailing Address - Country:US
Mailing Address - Phone:573-760-8280
Mailing Address - Fax:573-756-1408
Practice Address - Street 1:1101 W LIBERTY ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MO
Practice Address - Zip Code:63640-1921
Practice Address - Country:US
Practice Address - Phone:573-756-6451
Practice Address - Fax:573-756-1408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO379-13282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
999681OtherCOMMUNITY CARE PLUS
260163OtherMERCY MC
MO010638203Medicaid
260163OtherMERCY
856X8562OtherHEALTHCARE USA
119OtherBLUE CROSS-BLUE SHIELD
182901OtherHEALTH LINK
5020035OtherUNITED HEALTH CARE
=========OtherCIGNA
260163OtherMERCY MC+
=========OtherTRICARE
MO010638203Medicaid
=========OtherGHP