Fayette Outpatient Clinic – Clinic/Center, NPI 1710022108

Fayette Outpatient Clinic is a healthcare provider. based in Columbia, Missouri. specializing in Clinic/Center. The NPI Number for Fayette Outpatient Clinic is 1710022108

Main info

Organization
Name
Fayette Outpatient Clinic
NPI
1710022108
Phone
(573) 443-2204
Address
117 N GARTH AVE
Authorized Official
DR. ALLEN TACKER EXECUTIVE DIRECTOR PH.D.
Enumeration Date
21 February 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness90
Years active:19State licenses:0Digital endpoints

Provider Addresses for Fayette Outpatient Clinic

  • 117 N GARTH AVE

    COLUMBIA, MO 652034103

    Phone: (573) 443-2204

    Fax: (573) 875-6607

    Type: Mailing

  • 600 W MORRISON ST

    SUITE 16

    FAYETTE, MO 652481075

    Phone: (660) 248-3313

    Fax: (660) 248-3313

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65203)

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Reviews

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Frequently asked questions

Where can patients find Fayette Outpatient Clinic's NPI?
You can confirm Fayette Outpatient Clinic with NPI 1710022108; it appears in the national provider directory.
Is Fayette Outpatient Clinic's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does Fayette Outpatient Clinic work in?
You can think of Fayette Outpatient Clinic as practicing within Clinic/Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for Fayette Outpatient Clinic?
The page summarizes Columbia, Missouri for Fayette Outpatient Clinic; expand the address list for detail.
Is Fayette Outpatient Clinic a real provider?
This page reflects official NPPES data for NPI 1710022108. Always confirm identity and privileges with the practice and licensing boards.

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