Ron Mcculley

LBN: Ron Mcculley
Ron Mcculley is an health care organization with primary practice located at 2520 James St , Scott City MO 63780-1219. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Ron Mcculley can be contacted via phone (573) 264-2424, or through Mcculley, Ron via phone (573) 264-2424.

Contact Information

Primary practice address
2520 James St Scott City MO 63780-1219
Fax:
Website:
Authorized official contact:
Name: Mcculley, Ron

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 032088 Missouri

Profile Details

NPI number 1649397779
LBN Legal business name Ron Mcculley
DBA Doing business as
Authorized official Mcculley, Ron
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Jun 16th, 2008 - about 17 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 1649397779 NPPES
Missouri MEDICAID 266796309

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