Mid-Missouri Internal Medicine Inc
LBN: Mid-Missouri Internal Medicine Inc
Mid-Missouri Internal Medicine Inc is an health care organization with primary practice located at 1050 W 10Th St Ste 550 , Rolla MO 65401-2905. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Mid-Missouri Internal Medicine Inc can be contacted via phone (573) 364-7545, or through Klein, Trish Leanne via phone (573) 364-7545.
Contact Information
Primary practice address
1050 W 10Th St Ste 550
Rolla MO 65401-2905
Phone: (573) 364-7545
Fax: (573) 368-3672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34425 | Missouri |
Profile Details
| NPI number | 1508840901 |
|---|---|
| LBN Legal business name | Mid-Missouri Internal Medicine Inc |
| DBA Doing business as | |
| Authorized official | Klein, Trish Leanne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | May 12th, 2008 - about 17 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 | 1508840901 | NPPES |
| Missouri | Other | 1436867 | UNITED HEALTHCARE |
| Missouri | Other | DG8365 | UNITED HEALTHCARE |
| Missouri | Other | 123495 | UNITED HEALTHCARE |
| Missouri | Other | 1013100866 | UNITED HEALTHCARE |
| Missouri | MEDICAID | 504474602 | UNITED HEALTHCARE |
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