KNEIBERT CLINIC LLC NPI 1174501662

NPI Information

  • NPI: 1174501662
  • Provider Name: KNEIBERT CLINIC LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: KNEIBERT CLINIC RURAL HEALTH CLINIC
  • Address: 686 LESTER ST
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 686-2411

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NPI Details

KNEIBERT CLINIC LLC is a rural health clinic center in Poplar Bluff, MO. KNEIBERT CLINIC LLC NPI is 1174501662. The provider is registered as an organization entity type.
The provider Is Doing Business As Kneibert Clinic Rural Health Clinic.

The provider's business location address is:

686 LESTER ST
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 686-2411
Fax: (573) 686-8452

The provider's authorized official is Robert E Christian .
The authorized official title is Administrator and has the following contact phone number (573) 778-7210.

The enumeration date for this NPI number is 1/4/2006 and was last updated on 10/24/2008.

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
1261QR1300XClinic/CenterRural HealthYes

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
1149951729MEDICAIDARKANSAS
2595929605MEDICAIDMISSOURI
3263935MEDICARE OSCAR/CERTIFICATIONMISSOURI

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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