Tinsley Medical Clinic
LBN: Tinsley Medical Clinic
Tinsley Medical Clinic is an health care organization with primary practice located at 2400 Lucy Lee Pkwy , Poplar Bluff MO 63901-2429. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Tinsley Medical Clinic can be contacted via phone (573) 686-1144, or through Tinsley, Austin R via phone (573) 686-1144.
Contact Information
Primary practice address
2400 Lucy Lee Pkwy
Poplar Bluff MO 63901-2429
Phone: (573) 686-1144
Fax: (573) 686-3312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34610 | Missouri |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | Missouri | |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1558323386 |
|---|---|
| LBN Legal business name | Tinsley Medical Clinic |
| DBA Doing business as | |
| Authorized official | Tinsley, Austin R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Nov 2nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558323386 | NPPES |
| Missouri | Other | 3941210001 | DME NUMBER |
| Missouri | MEDICAID | 5076174600 | DME NUMBER |
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