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REHAB OUTREACH L.L.C. NPI 1295784197


NPI Information

NPI: 1295784197
Provider Name: REHAB OUTREACH, L.L.C.

Doing Business As: RENAISSANCE THERAPY OF COLUMBIA

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1100 CLUB VILLAGE DR
SUITE 103
COLUMBIA, MO
ZIP 65203
Phone: (573) 256-2777
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REHAB OUTREACH, L.L.C. is a rehabilitation clinic center in Columbia, MO. REHAB OUTREACH, L.L.C. NPI is 1295784197. The provider is registered as an organization entity type.
The provider Is Doing Business As Renaissance Therapy Of Columbia.

The provider's business location address is:

1100 CLUB VILLAGE DR
SUITE 103
COLUMBIA, MO
ZIP 65203-409
Phone: (573) 256-2777
Fax: (573) 256-2764

The provider's authorized official is Catherine A. Dulle .
The authorized official title is President and has the following contact phone number (314) 506-8800.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 7/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11295784197OTHERMISSOURIMEDICARE NPI
2OTH000MEDICARE UPIN
3266655MEDICARE 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: 4/28/2024

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.