Excelsior Springs Physicians Clinics Llc
LBN: Excelsior Springs Physicians Clinics Llc
Excelsior Springs Physicians Clinics Llc 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 / Internal Medicine, which is considered as the primary health care specialty.
Excelsior Springs Physicians Clinics Llc 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0113134 | Missouri |
Profile Details
| NPI number | 1710300298 |
|---|---|
| LBN Legal business name | Excelsior Springs Physicians Clinics Llc |
| 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 11 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 | 1710300298 | NPPES |
| Missouri | Other | MA4388 | MEDICARE ID |
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