Intrepid Usa Healthcare Services
LBN: Fc Of Missouri Inc
Intrepid Usa Healthcare Services is an health care organization with primary practice located at 4305 S. National Ave , Springfield MO 65810-2607. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Agencies / Home Health, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker. Agencies / Home Health is the primary health care specialty.
Fc Of Missouri Inc can be contacted via phone (417) 883-5118, or through Foster, Paul D via phone (214) 445-3750.
Contact Information
Primary practice address
4305 S. National Ave
Springfield MO 65810-2607
Phone: (417) 883-5118
Fax: (417) 883-7436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | HHA7502 | Missouri |
| Nursing Service Providers / Registered Nurse | 163W00000X | 943539809 | Missouri |
| Agencies / Home Health | 251E00000X | HHA7502 | Missouri |
| Agencies / Home Health | 251E00000X | 750-7HH | Missouri |
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | 263539801 | Missouri |
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 0002286 | Missouri |
| Nursing Service Related Providers / Homemaker | 376J00000X | HHA7502 | Missouri |
| Nursing Service Related Providers / Homemaker | 376J00000X | 283539807 | Missouri |
Profile Details
| NPI number | 1720060304 |
|---|---|
| LBN Legal business name | Fc Of Missouri Inc |
| DBA Doing business as | Intrepid Usa Healthcare Services |
| Authorized official | Foster, Paul D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Apr 19th, 2016 - about 8 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 | 1720060304 | NPPES |
| Missouri | MEDICAID | 581962909 | |
| Missouri | MEDICAID | 283539807 | |
| Missouri | MEDICAID | 943539809 |
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