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:
Map and Directions
Authorized official contact:
Name: Klein, Trish Leanne
Phone: (573) 364-7545

Health care specialties

SpecialtyCodeLicense #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 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 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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