Mountain Grove Medical And Laser Center Inc
LBN: Mountain Grove Medical And Laser Center Inc
Mountain Grove Medical And Laser Center Inc is an health care organization with primary practice located at 601 N Busch Ave , Mountain Grove MO 65711. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Mountain Grove Medical And Laser Center Inc can be contacted via phone (417) 926-6643, or through Hill, Doyle B via phone (417) 926-6643.
Contact Information
Primary practice address
601 N Busch Ave
Mountain Grove MO 65711
Phone: (417) 926-6643
Fax: (417) 926-6317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | R7130 | Missouri |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1972573699 |
|---|---|
| LBN Legal business name | Mountain Grove Medical And Laser Center Inc |
| DBA Doing business as | |
| Authorized official | Hill, Doyle B Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | May 14th, 2018 - about 6 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 | 1972573699 | NPPES |
| Missouri | Other | 793840 | RIVERBEND |
| Missouri | MEDICAID | 243394905 | RIVERBEND |
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