Healthcare Provider Details

I. General information

NPI: 1275437436
Provider Name (Legal Business Name): HCC NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 S BUSINESS HIGHWAY 13
LEXINGTON MO
64067-1515
US

IV. Provider business mailing address

819 S BUSINESS HIGHWAY 13
LEXINGTON MO
64067-1515
US

V. Phone/Fax

Practice location:
  • Phone: 877-344-3572
  • Fax: 866-228-4492
Mailing address:
  • Phone: 660-259-2440
  • Fax: 660-251-0524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL

VIII. Authorized Official

Name: TONIANN RICHARD
Title or Position: CEO
Credential:
Phone: 816-807-7774