YOUR OPTIMAL HEALTHCARE LLC NPI 1114483468

NPI Information

  • NPI: 1114483468
  • Provider Name: YOUR OPTIMAL HEALTHCARE LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 409 W OSAGE ST
    PACIFIC, MO
    ZIP 63069
  • Phone: (636) 200-8555

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NPI Details

YOUR OPTIMAL HEALTHCARE LLC is a primary care clinic center in Pacific, MO. YOUR OPTIMAL HEALTHCARE LLC NPI is 1114483468. The provider is registered as an organization entity type.

The provider's business location address is:

409 W OSAGE ST
PACIFIC, MO
ZIP 63069-332
Phone: (636) 200-8555
Fax: (636) 200-8560

The provider's authorized official is Mary Elizabeth Orris .
The authorized official title is Owner and has the following contact phone number (636) 200-8555.

The enumeration date for this NPI number is 2/12/2019 and was last updated on 10/18/2022.

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
1261QP2300XClinic/CenterPrimary CareYes

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

NPI Synchronization or Removal

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