Hy-Vee Clinic Pharmacy (1036)

LBN: Hy-Vee Inc
Hy-Vee Clinic Pharmacy (1036) is an health care organization with primary practice located at 710 Main St , Princeton MO 64673. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hy-Vee Inc can be contacted via phone (660) 748-7730, or through Nelson, Angie via phone (515) 267-2800.

Contact Information

Primary practice address
710 Main St Princeton MO 64673
Phone: (660) 748-7730
Fax: (660) 748-7733
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Angie
Phone: (515) 267-2800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2002000054 Missouri
Suppliers / Community/Retail Pharmacy 3336C0003X 2002000054 Missouri
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1417983503
LBN Legal business name Hy-Vee Inc
DBA Doing business as Hy-Vee Clinic Pharmacy (1036)
Authorized official Nelson, Angie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 22nd, 2023 - about last year

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 1417983503 NPPES
Iowa MEDICAID 0550921
Iowa MEDICAID 608585006
Iowa MEDICAID 62885002
Iowa Other 2634346

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