MC MEDICAL LLC NPI 1073390696

NPI Information

NPI: 1073390696
Provider Name: MC MEDICAL LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Doing Business As: WALMART HEALTH
Address: 7209 N PROSPECT AVENUE
GLADSTONE, MO
ZIP 64119
Phone: (479) 258-2080

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NPI Details

MC MEDICAL LLC is a general practice in Gladstone, 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 MC MEDICAL LLC NPI is 1073390696. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Walmart Health.

The provider's business location address is:

7209 N PROSPECT AVENUE
GLADSTONE, MO
ZIP 64119
Phone: (479) 258-2080

The provider's authorized official is Richard Henry .
The authorized official title is Enrollment Manager and has the following contact phone number (479) 258-2080.

The enumeration date for this NPI number is 9/8/2023 and was last updated on 12/20/2023.

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	Primary
1	101Y00000X	Counselor	No
2	103T00000X	Psychologist	No
3	104100000X	Social Worker	No
4	106H00000X	Marriage & Family Therapist	No
5	207R00000X	Internal Medicine	No
6	208000000X	Pediatrics	No
7	208D00000X	General Practice	Yes

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: 11/21/2025

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