Gideon Rurual Health Clinic

LBN: Kennett Hma Inc
Gideon Rurual Health Clinic is an health care organization with primary practice located at 1301 1St St , Kennett MO 63857-2525. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Kennett Hma Inc can be contacted via phone (573) 888-4522, or through Parry, Timothy via phone (239) 598-3176.

Contact Information

Primary practice address
1301 1St St Kennett MO 63857-2525
Phone: (573) 888-4522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parry, Timothy ESQ
Phone: (239) 598-3176

Health care specialties

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

Profile Details

NPI number 1245271915
LBN Legal business name Kennett Hma Inc
DBA Doing business as Gideon Rurual Health Clinic
Authorized official Parry, Timothy ESQ
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Feb 18th, 2009 - about 15 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 1245271915 NPPES
Missouri MEDICAID 596948000

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