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RENOVA MEDICAL CENTER LLC NPI 1447741681


NPI Information

NPI: 1447741681
Provider Name: RENOVA MEDICAL CENTER, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1401 FORUM BLVD STE 101
COLUMBIA, MO
ZIP 65203
Phone: (573) 228-0217
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RENOVA MEDICAL CENTER, LLC is a general practice in Columbia, MO. RENOVA MEDICAL CENTER, LLC NPI is 1447741681. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1401 FORUM BLVD STE 101
COLUMBIA, MO
ZIP 65203-915
Phone: (573) 228-0217
Fax: (573) 234-1368

The provider's authorized official is Kerrie J Rose .
The authorized official title is Owner and has the following contact phone number (573) 228-0217.

The enumeration date for this NPI number is 5/23/2018 and was last updated on 5/23/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

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: 11/14/2023

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.