Missouri Breaks Medical

LBN: Missouri Breaks Medical
Missouri Breaks Medical is an health care organization with primary practice located at Hc 64 Box 52 , Timber Lake SD 57656-9740. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Missouri Breaks Medical can be contacted via phone (605) 964-3418, or through O'Leary, Timothy J via phone (605) 964-3418.

Contact Information

Primary practice address
Hc 64 Box 52 Timber Lake SD 57656-9740
Phone: (605) 964-3418
Fax: (605) 934-3415
Website:
Map and Directions
Authorized official contact:
Name: O'Leary, Timothy J
Phone: (605) 964-3418

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1235329053
LBN Legal business name Missouri Breaks Medical
DBA Doing business as
Authorized official O'Leary, Timothy J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2007
Last updated Oct 28th, 2010 - about 15 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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