OrganizationActive
Immediate Healthcare Kings Highway
NPI 1639252968 · Non-Pharmacy Dispensing Site · Cape Girardeau, MO
Provider details
- NPI number
- 1639252968
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Direndia Shackelford, Managed Care Specialist(800) 654-0889
- License
- R2J89 (MO)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1702 N Kingshighway St
Cape Girardeau, MO 63701-2122
Phone: (573) 339-2000
Fax: (573) 339-1876
Street-level locationGet directions
Mailing address
1702 N Kingshighway St
Cape Girardeau, MO 63701-2122
Other names (DBA / former)
- Doing business as
- Immediate Healthcare Kings Highway
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.