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NPI Code Detail

MEDICARE: HCC NETWORK

MEDICARE: HCC NETWORK
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
1261QF0400XFederally Qualified Health Center (FQHC)MO

General Provider Information

NPI Number : 1174960769
Entity Type Code : Organization
Provider Name (Legal Business Name) : HCC NETWORK
Provider Business Mailing Address
First Line : 825 S BUSINESS HIGHWAY 13
Second Line :
City : LEXINGTON
State : MO
Zip : 64067-1515
Country : US
Telephone Number : 660-259-2440
Fax Number : 660-259-2440
Provider Business Practice Location Address
First Line : 608 MISSOURI STREET
Second Line :
City : WAVERLY
State : MO
Zip : 64096-8421
Country : US
Telephone Number : 877-344-3572
Fax Number : 866-228-4492
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. TONIANN RICHARD
Credential :
Telephone Number : 660-259-2440
Provider Enumeration Date : 05/23/2013
Last Update Date : 09/02/2025

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Directions to “HCC NETWORK ” Practice Location

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