Jibben Medical
LBN: Dexter Hospital Llc
Jibben Medical is an health care organization with primary practice located at 1525 W Business Hwy 60 , Dexter MO 63841. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Dexter Hospital Llc can be contacted via phone (573) 624-8447, or through Williams, Sue Ann via phone (573) 624-1640.
Contact Information
Primary practice address
1525 W Business Hwy 60
Dexter MO 63841
Phone: (573) 624-8447
Fax: (573) 624-4312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1710056213 |
|---|---|
| LBN Legal business name | Dexter Hospital Llc |
| DBA Doing business as | Jibben Medical |
| Authorized official | Williams, Sue Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Sep 11th, 2008 - about 17 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 | 1710056213 | NPPES |
| Missouri | MEDICAID | 504910001 | |
| Missouri | Other | DC5219 |
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