| Hcc Network | |
|
608 Missouri Street Waverly MO 64096-8421 | |
| (877) 344-3572 | |
| (866) 228-4492 |
| Full Name | Hcc Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 608 Missouri Street, Waverly, Missouri |
| Authorized Official Name and Position | Toniann Richard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6602592440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hcc Network 825 S Business Highway 13 Lexington MO 64067-1515 Ph: (660) 259-2440 | Hcc Network 608 Missouri Street Waverly MO 64096-8421 Ph: (877) 344-3572 |
| NPI Number | 1174960769 |
|---|---|
| Provider Enumeration Date | 05/23/2013 |
| Last Update Date | 09/02/2025 |
| Medicare PECOS PAC ID | 6800034679 |
|---|---|
| Medicare Enrollment ID | O20131030001256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174960769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
| Provider Name | Stephanie A Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841396363 PECOS PAC ID: 4587691878 Enrollment ID: I20050719000323 |
| Provider Name | Preston B Howerton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023004652 PECOS PAC ID: 6406954395 Enrollment ID: I20070530000385 |
| Provider Name | Debra Stedem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699088278 PECOS PAC ID: 4486770914 Enrollment ID: I20100922000100 |
| Provider Name | Drew D Shoemaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851313399 PECOS PAC ID: 2961310826 Enrollment ID: I20101027000925 |
| Provider Name | Samuel M Temesgen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972891455 PECOS PAC ID: 2264747211 Enrollment ID: I20150819008760 |
| Provider Name | Fawn N Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154792810 PECOS PAC ID: 2567766074 Enrollment ID: I20160203001772 |
| Provider Name | Dana M Zinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881132587 PECOS PAC ID: 6901181205 Enrollment ID: I20170329001790 |
| Provider Name | Mark Bagby |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477755775 PECOS PAC ID: 9739466145 Enrollment ID: I20170614000901 |
| Provider Name | Angela L Lybarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013480979 PECOS PAC ID: 5799022356 Enrollment ID: I20190122000728 |
| Provider Name | William R Enochs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144617978 PECOS PAC ID: 4880996594 Enrollment ID: I20190829002064 |
| Provider Name | Ambria Wimsatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073086955 PECOS PAC ID: 3072929116 Enrollment ID: I20210315002275 |
| Provider Name | Erica Marlene Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275006793 PECOS PAC ID: 3274940820 Enrollment ID: I20210325002409 |
| Provider Name | Jacklynn M Burk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548916489 PECOS PAC ID: 1456748839 Enrollment ID: I20220504000856 |
| Provider Name | Mary Schnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831978766 PECOS PAC ID: 8325495542 Enrollment ID: I20231109002334 |
| Provider Name | Chelsea E Neel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144856980 PECOS PAC ID: 2365888682 Enrollment ID: I20240308003120 |
| Provider Name | Rachael M Parker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760091524 PECOS PAC ID: 4981045168 Enrollment ID: I20240520000799 |
| Provider Name | Allyson Victoria Hollenbeck |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1609663608 PECOS PAC ID: 0143730820 Enrollment ID: I20250611002162 |