The Kitchen Clinic

LBN: Missouri State University
The Kitchen Clinic is an health care organization with primary practice located at 1630 N Jefferson Ave , Springfield MO 65803-2819. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Missouri State University can be contacted via phone (417) 837-1504, or through Bower, Mark via phone (417) 837-1500.

Contact Information

Primary practice address
1630 N Jefferson Ave Springfield MO 65803-2819
Fax: (417) 837-1545
Website:
Authorized official contact:
Name: Bower, Mark Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 2013003462 Missouri

Profile Details

NPI number 1477893907
LBN Legal business name Missouri State University
DBA Doing business as The Kitchen Clinic
Authorized official Bower, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2013
Last updated Feb 20th, 2013 - 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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