Immediate Healthcare Kings Highway

LBN: Immediate Healthcare Kings Highway
Immediate Healthcare Kings Highway is an health care organization with primary practice located at 1702 N Kingshighway St , Cape Girardeau MO 63701-2122. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Immediate Healthcare Kings Highway can be contacted via phone (573) 339-2000, or through Shackelford, Direndia via phone (800) 654-0889.

Contact Information

Primary practice address
1702 N Kingshighway St Cape Girardeau MO 63701-2122
Fax: (573) 339-1876
Website:
Authorized official contact:
Name: Shackelford, Direndia

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X R2J89 Missouri

Profile Details

NPI number 1639252968
LBN Legal business name Immediate Healthcare Kings Highway
DBA Doing business as Immediate Healthcare Kings Highway
Authorized official Shackelford, Direndia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1639252968 NPPES
Other 2633471 OTHER ID NUMBER-COMMERCIAL NUMBER

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