Provider Plus, Inc.

LBN: Provider Plus, Inc.
Provider Plus, Inc. is an health care organization with primary practice located at 102 Smith Ave , Sikeston MO 63801-5240. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Provider Plus, Inc. can be contacted via phone (573) 472-7975, or through Griggs, Stephen via phone (407) 206-0040.

Contact Information

Primary practice address
102 Smith Ave Sikeston MO 63801-5240
Phone: (573) 472-7975
Fax: (573) 472-2356
Website:
Map and Directions
Authorized official contact:
Name: Griggs, Stephen
Phone: (407) 206-0040

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1376850420
LBN Legal business name Provider Plus, Inc.
DBA Doing business as
Authorized official Griggs, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2010
Last updated Jul 12th, 2021 - about 4 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 1376850420 NPPES
Missouri MEDICAID 1376850420

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