Pilot Grove Rural Health Clinic
LBN: Laurie A Beach
Pilot Grove Rural Health Clinic is an health care organization with primary practice located at 212 College St , Pilot Grove MO 65276-1005. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
Laurie A Beach can be contacted via phone (660) 834-5100, or through Beach, Laurie A via phone (660) 834-5100.
Contact Information
Primary practice address
212 College St
Pilot Grove MO 65276-1005
Phone: (660) 834-5100
Fax: (660) 834-5101
Website:
Authorized official contact:
Name: Beach, Laurie A Family Nurse Practitioner (FNP)
Phone: (660) 834-5100
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
NPI number | 1780808675 |
---|---|
LBN Legal business name | Laurie A Beach |
DBA Doing business as | Pilot Grove Rural Health Clinic |
Authorized official | Beach, Laurie A Family Nurse Practitioner (FNP) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 12th, 2007 |
Last updated | Feb 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780808675 | NPPES |
Missouri | Other | 000014600 | MEDICARE PART B |
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