Core14 Llc

LBN: Core14 Llc
Core14 Llc is an health care organization with primary practice located at 2700 N Range Line Rd Suite 101, Joplin MO 64801-9100. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Core14 Llc can be contacted via phone (417) 627-9601, or through Alberty, Jennifer via phone (417) 627-9601.

Contact Information

Primary practice address
2700 N Range Line Rd Suite 101 Joplin MO 64801-9100
Phone: (417) 627-9601
Fax: (417) 627-9032
Website:
Map and Directions
Authorized official contact:
Name: Alberty, Jennifer PSY.D.
Phone: (417) 627-9601

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2003019242 Missouri

Profile Details

NPI number 1982955191
LBN Legal business name Core14 Llc
DBA Doing business as
Authorized official Alberty, Jennifer PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2012
Last updated Oct 17th, 2012 - about 13 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 1982955191 NPPES
Missouri MEDICAID 1881783066

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