Physicians Park Primary Care

LBN: Internal Medicine Associates Of Southeast Missouri Llc
Physicians Park Primary Care is an health care organization with primary practice located at 225 Physicians Park Suite 400, Poplar Bluff MO 63901-3956. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Internal Medicine Associates Of Southeast Missouri Llc can be contacted via phone (573) 727-5500, or through Caldwell, F. Michael via phone (573) 727-5500.

Contact Information

Primary practice address
225 Physicians Park Suite 400 Poplar Bluff MO 63901-3956
Fax: (573) 778-0581
Website:
Authorized official contact:
Name: Caldwell, F. Michael Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1598718355
LBN Legal business name Internal Medicine Associates Of Southeast Missouri Llc
DBA Doing business as Physicians Park Primary Care
Authorized official Caldwell, F. Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Nov 14th, 2008 - about 16 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 1598718355 NPPES
Missouri MEDICAID 595183401

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