| Arthur Center | |
|
340 Kelley Parkway Mexico MO 65265-2719 | |
| (573) 582-1234 | |
| (573) 581-1981 |
| Full Name | Arthur Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 340 Kelley Parkway, Mexico, Missouri |
| Authorized Official Name and Position | Linda Marie Hopkins (CFO) |
| Authorized Official Contact | 5735821234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arthur Center 340 Kelley Parkway Mexico MO 65265-2719 Ph: (573) 582-1234 | Arthur Center 340 Kelley Parkway Mexico MO 65265-2719 Ph: (573) 582-1234 |
| NPI Number | 1144293549 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 09/19/2016 |
| Medicare PECOS PAC ID | 5395659403 |
|---|---|
| Medicare Enrollment ID | O20031113000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144293549 | NPI | - | NPPES |
| 5726-7685 | Other | MO | MO DEPT OF MENTAL HEALTH |
| 1144293549 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 5726-7685 (Missouri) | Primary |
| Provider Name | Veneta Jo Raboin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891791166 PECOS PAC ID: 2163493370 Enrollment ID: I20040803000050 |
| Provider Name | Georgetta Jean Hull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215912571 PECOS PAC ID: 1456300748 Enrollment ID: I20050113000326 |
| Provider Name | Ahmed A Taranissi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215978689 PECOS PAC ID: 9537119169 Enrollment ID: I20050131000905 |
| Provider Name | Cara Rae Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427042076 PECOS PAC ID: 0941304364 Enrollment ID: I20070324000050 |
| Provider Name | Eric F Kondro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336124023 PECOS PAC ID: 5496814378 Enrollment ID: I20081106000682 |
| Provider Name | Michael Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972523991 PECOS PAC ID: 2668527961 Enrollment ID: I20090910000502 |
| Provider Name | Amir Sahba Jalali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346334166 PECOS PAC ID: 5496947780 Enrollment ID: I20101005000662 |
| Provider Name | Carolyn S Canterbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942510102 PECOS PAC ID: 1951598838 Enrollment ID: I20101203000777 |
| Provider Name | Cheryl G Lummis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962438762 PECOS PAC ID: 5698936516 Enrollment ID: I20120419000423 |
| Provider Name | Catherine T Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144573940 PECOS PAC ID: 2264686211 Enrollment ID: I20130129000406 |
| Provider Name | Humza Waheed |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689938524 PECOS PAC ID: 2567696784 Enrollment ID: I20150928001739 |
| Provider Name | Lan-tu Dang Holem |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902892235 PECOS PAC ID: 3678864568 Enrollment ID: I20160623001970 |
| Provider Name | Brenda Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497149652 PECOS PAC ID: 7113813833 Enrollment ID: I20161207002443 |
| Provider Name | Mark Bagby |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477755775 PECOS PAC ID: 9739466145 Enrollment ID: I20170614000901 |
| Provider Name | Sandra Ann Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851853923 PECOS PAC ID: 0749512127 Enrollment ID: I20191105000577 |
| Provider Name | Victoria Lynn Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568013993 PECOS PAC ID: 5193132256 Enrollment ID: I20210408000085 |
| Provider Name | Tyva Michelle Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891365607 PECOS PAC ID: 2769884824 Enrollment ID: I20210712003035 |
| Provider Name | Ashley D Arens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588316616 PECOS PAC ID: 0042603649 Enrollment ID: I20220203000131 |
| Provider Name | Lauren Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588317978 PECOS PAC ID: 8224421607 Enrollment ID: I20220207002340 |
| Provider Name | Kirsten Straub Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124773650 PECOS PAC ID: 3072907005 Enrollment ID: I20220308001233 |
| Provider Name | Patricia Ann Erwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023170966 PECOS PAC ID: 1850779026 Enrollment ID: I20220531000387 |
| Provider Name | Kaushik Ragam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1821767203 PECOS PAC ID: 0547632820 Enrollment ID: I20230215000118 |
| Provider Name | Laura M Heitmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336846930 PECOS PAC ID: 0446623276 Enrollment ID: I20230227001317 |
| Provider Name | Kacee D Cagle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891308599 PECOS PAC ID: 6901264191 Enrollment ID: I20230620003346 |
| Provider Name | Jordan Elyse Goodin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639949928 PECOS PAC ID: 0749625382 Enrollment ID: I20240305001898 |
Lisa J. Snow, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 E Promenade St, Mexico, MO 65265 Phone: 573-975-4301 Fax: 573-975-4304 | |
Advantage Counseling Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 W Jackson St, Mexico, MO 65265 Phone: 573-567-0070 Fax: 417-944-1440 | |
Behavioral Health Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 620 E Monroe St, Mexico, MO 65265 Phone: 573-582-5000 Fax: 573-582-3700 | |
Arthur Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 | |
Psychiatric Unit Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 620 E Monroe St, Mexico, MO 65265 Phone: 573-582-5000 Fax: 573-582-3700 | |
Arthur Center Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-581-1981 |