Forever Young
Forever Young is a healthcare organization registered as Clinic/Center in Webb City, MO, holding Type 2 (organization) NPI 1619333481 since 2016. The authorized official on file is David Larue, Medical Director.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1619333481 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Forever Young |
| Other name | <Unavail> |
| Parent organization | Professional Urgent Care, LLC |
| Practice address | 6055 N MAIN STREET RD, Webb City, MO, 64870 |
| Phone | 4172060900 |
| Fax | 4172060907 |
| Enumeration date | 2016-01-11 |
| Last updated in NPPES | 2016-01-11 |
Authorized official
| Name | David Larue |
|---|---|
| Title | Medical Director |
| Phone | 4172060900 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | R9J48 | MO |
Copy-ready billing details
Provider: Forever Young NPI: 1619333481 Taxonomy: 261Q00000X (Clinic/Center) Address: 6055 N MAIN STREET RD, Webb City, MO, 64870
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164703153 | Charles Gossman | Individual | Family Nurse Practitioner | Webb City, MO |
| 1922427806 | Professional Urgent Care LLC | Organization | Urgent Care Clinic/Center | Webb City, MO |
Verify this record
Cross-check NPI 1619333481 against the authoritative CMS record: view Forever Young on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Forever Young?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-01-11.