A1Care

LBN: Prc Enterprises
A1Care is an health care organization with primary practice located at 650 Vine St , Poplar Bluff MO 63901-5039. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as the primary health care specialty. Prc Enterprises can be contacted via phone (573) 778-1126, or through Campbell, Patricia Rose via phone (573) 778-1126.

Contact Information

Primary practice address
650 Vine St Poplar Bluff MO 63901-5039
Phone: (573) 778-1126
Fax: (573) 785-4887
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Patricia Rose
Phone: (573) 778-1126

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 14078480 Missouri

Profile Details

NPI number 1508925025
LBN Legal business name Prc Enterprises
DBA Doing business as A1Care
Authorized official Campbell, Patricia Rose
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Jun 12th, 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 1508925025 NPPES
Missouri MEDICAID 193400000X

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