Gilbert D. Smith, M.D., Llc

LBN: Gilbert D. Smith, M.D., Llc
Gilbert D. Smith, M.D., Llc is an health care organization with primary practice located at 2210 Barron Rd Suite 219, Poplar Bluff MO 63901-1908. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Gilbert D. Smith, M.D., Llc can be contacted via phone (573) 686-2811, or through Smith, Gilbert D via phone (573) 686-2811.

Contact Information

Primary practice address
2210 Barron Rd Suite 219 Poplar Bluff MO 63901-1908
Fax: (573) 686-3441
Website:
Authorized official contact:
Name: Smith, Gilbert D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X R5B27 Missouri
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1225016884
LBN Legal business name Gilbert D. Smith, M.D., Llc
DBA Doing business as
Authorized official Smith, Gilbert D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2006
Last updated Apr 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225016884 NPPES
Missouri MEDICAID 500910708
Missouri MEDICAID 596062703

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