New Medico Healthcare Corporation

LBN: New Medico Healthcare Corporation
New Medico Healthcare Corporation is an health care organization with primary practice located at 3361 S Springfield Ave , Bolivar MO 65613-9132. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. New Medico Healthcare Corporation can be contacted via phone (417) 777-1182, or through Lorenzo, Edilberto B via phone (417) 777-1182.

Contact Information

Primary practice address
3361 S Springfield Ave Bolivar MO 65613-9132
Phone: (417) 777-1182
Fax: (417) 777-1183
Website:
Map and Directions
Authorized official contact:
Name: Lorenzo, Edilberto B Doctor of Medicine (MD)
Phone: (417) 777-1182

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002181 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 20010000520 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 33294 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 04-15475 Kansas
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X R4566 Arkansas
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 0000029442 Tennessee

Profile Details

NPI number 1245250091
LBN Legal business name New Medico Healthcare Corporation
DBA Doing business as
Authorized official Lorenzo, Edilberto B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Sep 25th, 2014 - about 10 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 1245250091 NPPES
Arkansas MEDICAID 128988002
Arkansas MEDICAID 493986483
Arkansas MEDICAID 498904515
Arkansas MEDICAID 505355909
Arkansas MEDICAID 127191001
Arkansas MEDICAID 208100107

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