Provider Type Icon

STATE OF MISSOURI NPI 1336193895


NPI Information

NPI: 1336193895
Provider Name: STATE OF MISSOURI

Doing Business As: NWCS-HOWERTON INTEGRATED MEDICAL CLINIC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1547 W. COMMERCE DR
MARSHALL, MO
ZIP 65340
Phone: (660) 886-2201
Get Directions

STATE OF MISSOURI is a general practice in Marshall, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee STATE OF MISSOURI NPI is 1336193895. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Nwcs-howerton Integrated Medical Clinic.

The provider's business location address is:

1547 W. COMMERCE DR
MARSHALL, MO
ZIP 65340-240
Phone: (660) 886-2201
Fax: (660) 831-3071

The provider's authorized official is Molly Jane Boeckmann .
The authorized official title is Director Of Administrative Services and has the following contact phone number (573) 751-4055.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 8/31/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1501499800MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.