Provider Demographics
NPI:1528943040
Name:SERVANTS HEART HEALTHCARE, LLC
Entity type:Organization
Organization Name:SERVANTS HEART HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:SPURLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:417-274-1720
Mailing Address - Street 1:9395 COUNTY ROAD 9510
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-3862
Mailing Address - Country:US
Mailing Address - Phone:417-274-1725
Mailing Address - Fax:
Practice Address - Street 1:311 PINE ST
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-2533
Practice Address - Country:US
Practice Address - Phone:417-274-1725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty