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:
Map and Directions
Authorized official contact:
Name: Hill, Doyle B Doctor of Osteopathy (DO)
Phone: (417) 926-6643

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972573699 NPPES
Missouri Other 793840 RIVERBEND
Missouri MEDICAID 243394905 RIVERBEND

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