Missouri Foot Care Centers, Inc.
LBN: Missouri Foot Care Centers, Inc.
Missouri Foot Care Centers, Inc. is an health care organization with primary practice located at 1705 Christy Dr Suite 209, Jefferson City MO 65101-5195. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Missouri Foot Care Centers, Inc. can be contacted via phone (573) 634-3338, or through Ruddle, Kelli Jeane via phone (314) 270-3060.
Contact Information
Primary practice address
1705 Christy Dr Suite 209
Jefferson City MO 65101-5195
Phone: (573) 634-3338
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 000552 | Missouri |
Profile Details
| NPI number | 1508035569 |
|---|---|
| LBN Legal business name | Missouri Foot Care Centers, Inc. |
| DBA Doing business as | |
| Authorized official | Ruddle, Kelli Jeane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 25th, 2008 |
| Last updated | Jun 13th, 2017 - about 7 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 | 1508035569 | NPPES |
| Missouri | MEDICAID | 504901406 | |
| Missouri | Other | 480025443 | |
| Missouri | MEDICAID | 302574710 | |
| Missouri | Other | CJ9611 |
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