Excelsior Springs Physicians Clinic

LBN: Excelsior Springs Physicians Clinic
Excelsior Springs Physicians Clinic is an health care organization with primary practice located at 1700 Rainbow Blvd , Excelsior Springs MO 64024-1182. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Excelsior Springs Physicians Clinic can be contacted via phone (816) 629-2623, or through Boomgarden, Jennifer L via phone (816) 629-2623.

Contact Information

Primary practice address
1700 Rainbow Blvd Excelsior Springs MO 64024-1182
Phone: (816) 629-2623
Fax: (816) 629-2722
Website:
Map and Directions
Authorized official contact:
Name: Boomgarden, Jennifer L CRMA, BSHSA, EMBA
Phone: (816) 629-2623

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X R6J43 Missouri

Profile Details

NPI number 1629491105
LBN Legal business name Excelsior Springs Physicians Clinic
DBA Doing business as
Authorized official Boomgarden, Jennifer L CRMA, BSHSA, EMBA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2014
Last updated Feb 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629491105 NPPES
Missouri Other MA 4388 MEDICARE ID#

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