Innovative Medical Clinic

LBN: Innovative Medical Clinic
Innovative Medical Clinic is an health care organization with primary practice located at 3218 W Edgewood Dr Ste 500, Jefferson City MO 65109. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Innovative Medical Clinic can be contacted via phone (949) 696-6157, or through Osoego, Elochukwu via phone (949) 696-6157.

Contact Information

Primary practice address
3218 W Edgewood Dr Ste 500 Jefferson City MO 65109
Phone: (949) 696-6157
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Osoego, Elochukwu
Phone: (949) 696-6157

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1063290260
LBN Legal business name Innovative Medical Clinic
DBA Doing business as
Authorized official Osoego, Elochukwu
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2023
Last updated Sep 21st, 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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