Broadway Internal Medicine Associates L.L.C.
LBN: Broadway Internal Medicine Associates L.L.C.
Broadway Internal Medicine Associates L.L.C. is an health care organization with primary practice located at 204 N Keene St Suite 100, Columbia MO 65201-8102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Broadway Internal Medicine Associates L.L.C. can be contacted via phone (573) 442-0320, or through Vogt, Douglas Eugene via phone (573) 442-0320.
Contact Information
Primary practice address
204 N Keene St Suite 100
Columbia MO 65201-8102
Phone: (573) 442-0320
Fax: (573) 442-0421
Website:
Authorized official contact:
Name: Vogt, Douglas Eugene Doctor of Medicine (MD)
Phone: (573) 442-0320
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1336106426 |
|---|---|
| LBN Legal business name | Broadway Internal Medicine Associates L.L.C. |
| DBA Doing business as | |
| Authorized official | Vogt, Douglas Eugene Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jun 25th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336106426 | NPPES |
| Missouri | MEDICAID | 503817504 |
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