Southwest Missouri Foot Clinics, Inc.

LBN: Southwest Missouri Foot Clinics, Inc.
Southwest Missouri Foot Clinics, Inc. is an health care organization with primary practice located at 2630 Cunningham Ave , Joplin MO 64804-1542. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Podiatric, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Ambulatory Health Care Facilities / Podiatric is the primary health care specialty. Southwest Missouri Foot Clinics, Inc. can be contacted via phone (417) 782-7500, or through Richins, Matthew B via phone (417) 782-7500.

Contact Information

Primary practice address
2630 Cunningham Ave Joplin MO 64804-1542
Phone: (417) 782-7500
Fax: (417) 782-7524
Website:
Map and Directions
Authorized official contact:
Name: Richins, Matthew B Doctor of Podiatric Medicine (DPM)
Phone: (417) 782-7500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X 2006009605 Missouri
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2006009605 Missouri
Suppliers / Customized Equipment 332BC3200X 2006009605 Missouri

Profile Details

NPI number 1215020896
LBN Legal business name Southwest Missouri Foot Clinics, Inc.
DBA Doing business as
Authorized official Richins, Matthew B Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Jun 25th, 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 1215020896 NPPES
Missouri Other 000015173 MO MEDICARE GROUP
Missouri Other 114206 MO MEDICARE GROUP
Missouri Other DG0016 MO MEDICARE GROUP
Missouri MEDICAID 504920901 MO MEDICARE GROUP
Missouri Other 212522 MO MEDICARE GROUP

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