Kirksville Academic Medicine Llc

LBN: Kirksville Academic Medicine Llc
Kirksville Academic Medicine Llc is an health care organization with primary practice located at 800 W Jefferson St , Kirksville MO 63501-1443. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Kirksville Academic Medicine Llc can be contacted via phone (660) 626-2235, or through Brewer, Debbie T via phone (877) 892-9813.

Contact Information

Primary practice address
800 W Jefferson St Kirksville MO 63501-1443
Phone: (660) 626-2235
Fax: (660) 626-2090
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie T
Phone: (877) 892-9813

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Missouri
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X Missouri
Allopathic & Osteopathic Physicians / Urology 208800000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Missouri

Profile Details

NPI number 1396876355
LBN Legal business name Kirksville Academic Medicine Llc
DBA Doing business as
Authorized official Brewer, Debbie T
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 8th, 2007
Last updated Oct 21st, 2009 - 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 1396876355 NPPES
Iowa MEDICAID 0765826
Iowa Other 218276
Iowa MEDICAID 504459702

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