Provider Plus, Inc

LBN: Provider Plus, Inc
Provider Plus, Inc is an health care organization with primary practice located at 769 N Westwood Blvd , Poplar Bluff MO 63901-4724. 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) 686-1589, or through Griggs, Stephen via phone (407) 206-0040.

Contact Information

Primary practice address
769 N Westwood Blvd Poplar Bluff MO 63901-4724
Fax: (573) 686-1629
Website:
Authorized official contact:
Name: Griggs, Stephen

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 14868971 Missouri

Profile Details

NPI number 1649227463
LBN Legal business name Provider Plus, Inc
DBA Doing business as
Authorized official Griggs, Stephen
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Mar 14th, 2023 - about last year

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 1649227463 NPPES
Missouri MEDICAID 629892803
Missouri MEDICAID =========

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