Northland Gastroenterology

LBN: Northland Gastroenterology
Northland Gastroenterology is an health care organization with primary practice located at 1345 N Jesse James Rd , Excelsior Springs MO 64024-1183. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Northland Gastroenterology can be contacted via phone (816) 630-0900, or through Potter, Brandi E via phone (816) 554-3838.

Contact Information

Primary practice address
1345 N Jesse James Rd Excelsior Springs MO 64024-1183
Fax: (816) 637-3250
Website:
Authorized official contact:
Name: Potter, Brandi E

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X R9779 Missouri

Profile Details

NPI number 1093884504
LBN Legal business name Northland Gastroenterology
DBA Doing business as
Authorized official Potter, Brandi E
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2008 - about 16 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 1093884504 NPPES
Missouri Other 09040299 BCBS

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