Pediatric Associates Of Southwest Missouri, Llc

LBN: Pediatric Associates Of Southwest Missouri, Llc
Pediatric Associates Of Southwest Missouri, Llc is an health care organization with primary practice located at 2719 E 32Nd St , Joplin MO 64804-3131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Pediatric Associates Of Southwest Missouri, Llc can be contacted via phone (417) 782-5522, or through Yarnall, Michelle A via phone (417) 782-5522.

Contact Information

Primary practice address
2719 E 32Nd St Joplin MO 64804-3131
Phone: (417) 782-5522
Fax: (417) 622-5498
Website:
Map and Directions
Authorized official contact:
Name: Yarnall, Michelle A
Phone: (417) 782-5522

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1518083435
LBN Legal business name Pediatric Associates Of Southwest Missouri, Llc
DBA Doing business as
Authorized official Yarnall, Michelle A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 29th, 2023 - about 2 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 1518083435 NPPES
Missouri MEDICAID 500214705

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