Spine Midwest, Inc

LBN: Spine Midwest, Inc
Spine Midwest, Inc is an health care organization with primary practice located at 200 Saint Marys Medical Plz Suite 301, Jefferson City MO 65101-1604. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Spine Midwest, Inc can be contacted via phone (573) 634-4212, or through Rodgers, William Blake via phone (573) 634-4212.

Contact Information

Primary practice address
200 Saint Marys Medical Plz Suite 301 Jefferson City MO 65101-1604
Phone: (573) 634-4212
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodgers, William Blake Doctor of Medicine (MD)
Phone: (573) 634-4212

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1003096306
LBN Legal business name Spine Midwest, Inc
DBA Doing business as
Authorized official Rodgers, William Blake Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2007
Last updated Nov 5th, 2007 - 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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