MEDICARE: FC OF MISSOURI INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	HHA7502	MO
2	163W00000X	Registered Nurse	943539809	MO
3	251E00000X	Home Health Agency	HHA7502	MO
4	3747P1801X	Personal Care Attendant	263539801	MO
5	374U00000X	Home Health Aide	0002286	MO
6	376J00000X	Homemaker	HHA7502	MO
7	376J00000X	Homemaker	283539807	MO
8	251E00000X	Home Health Agency	750-7HH	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720060304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FC OF MISSOURI INC

Provider Business Mailing Address
First Line	:	4055 VALLEY VIEW LN
Second Line	:	5TH FLOOR
City	:	DALLAS
State	:	TX
Zip	:	75244-5074
Country	:	US
Telephone Number	:	214-445-3750
Fax Number	:	214-445-3902

Provider Business Practice Location Address
First Line	:	4305 S. NATIONAL AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65810-2607
Country	:	US
Telephone Number	:	417-883-5118
Fax Number	:	417-883-7436

Authorized Official
Title or Position	:	CEO
Name	:	MR. PAUL D FOSTER
Credential	:
Telephone Number	:	214-445-3750

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	04/19/2016

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1710983291 — DR. ARMIN JARED WAGMAN M.D.
Practice Location Address:

4350 S NATIONAL AVE , # C-100
SPRINGFIELD, MO
65810-2607

Practice Phone: 417-447-4700
Practice Fax: 417-447-4701

1003812504 — DR. ALAN DARE TONG M.D.
Practice Location Address:

4350 S NATIONAL AVE , SUITE C 100
SPRINGFIELD, MO
65810-2607

Practice Phone: 417-447-4700
Practice Fax: 417-447-4701

1871569111 — DR. JOHN LESLIE PUTNAM MD
Practice Location Address:

4350 S NATIONAL AVE , SUITE C200
SPRINGFIELD, MO
65810-2607

Practice Phone: 417-447-1000
Practice Fax: 417-447-6150

1245333418 — PARK PLAZA PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice Location Address:

4350 S NATIONAL AVE , SUITE A108
SPRINGFIELD, MO
65810-2607

Practice Phone: 417-823-8670
Practice Fax: 417-823-8625

1346331642 — DR. ROBERT D MORRISSEY PHD
Practice Location Address:

4350 S NATIONAL AVE , SUITE B-116
SPRINGFIELD, MO
65810-2607

Practice Phone: 417-881-1810
Practice Fax:

Directions to “FC OF MISSOURI INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.