Mansfield Clinic, Inc.

LBN: Mansfield Clinic, Inc.
Mansfield Clinic, Inc. is an health care organization with primary practice located at 304 West Commercial Street , Mansfield MO 65704. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Mansfield Clinic, Inc. can be contacted via phone (417) 924-3066, or through Dugan, Kenneth via phone (417) 924-3066.

Contact Information

Primary practice address
304 West Commercial Street Mansfield MO 65704
Phone: (417) 924-3066
Fax: (417) 924-3925
Website:
Map and Directions
Authorized official contact:
Name: Dugan, Kenneth Doctor of Medicine (MD)
Phone: (417) 924-3066

Health care specialties

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

Profile Details

NPI number 1811036791
LBN Legal business name Mansfield Clinic, Inc.
DBA Doing business as
Authorized official Dugan, Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Apr 3rd, 2012 - about 12 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 1811036791 NPPES
Missouri Other 263940 RIVERBEND GBA
Missouri MEDICAID 596020602 RIVERBEND GBA

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