Carthage Rehab, Llc

LBN: Carthage Rehab, Llc
Carthage Rehab, Llc is an health care organization with primary practice located at 1901A Buena Vista Ave , Carthage MO 64836-3178. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Carthage Rehab, Llc can be contacted via phone (417) 358-3440, or through Long, Phillip Cody via phone (205) 391-3600.

Contact Information

Primary practice address
1901A Buena Vista Ave Carthage MO 64836-3178
Phone: (417) 358-3440
Fax: (417) 359-5617
Website:
Map and Directions
Authorized official contact:
Name: Long, Phillip Cody
Phone: (205) 391-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1225182066
LBN Legal business name Carthage Rehab, Llc
DBA Doing business as
Authorized official Long, Phillip Cody
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Oct 12th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225182066 NPPES
Missouri MEDICAID 572480903

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