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MOSAIC MEDICAL CENTER - MARYVILLE NPI 1093289431


NPI Information

NPI: 1093289431
Provider Name: MOSAIC MEDICAL CENTER - MARYVILLE

Doing Business As: MOSAIC FAMILY CARE - SAVANNAH

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 26D2058006

Address:
301 E PRICE AVE STE A
SAVANNAH, MO
ZIP 64485
Phone: (816) 432-0006
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MOSAIC MEDICAL CENTER - MARYVILLE is a rural health clinic center in Savannah, MO. MOSAIC MEDICAL CENTER - MARYVILLE NPI is 1093289431. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mosaic Family Care - Savannah.

The provider's business location address is:

301 E PRICE AVE STE A
SAVANNAH, MO
ZIP 64485-482
Phone: (816) 432-0006
Fax: (816) 432-0008

The provider's authorized official is Dwight R Carvell .
The authorized official title is Director Of Reimbursement and has the following contact phone number (816) 273-0473.

The CLIA number assigned to this NPI record is 26D2058006 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2019 and was last updated on 6/10/2019.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
4363L00000XNurse PractitionerNo
5363LF0000XNurse PractitionerFamilyNo
6363LP0200XNurse PractitionerPediatricsNo
7261QR1300XClinic/CenterRural HealthYes

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.