KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC NPI 1346215944

NPI Information

NPI: 1346215944
Provider Name: KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC

Doing Business As: FAMILY HEALTH CENTER OF EDINA

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

Specialization: Rural Health

Address:
205 S 5TH ST
EDINA, MO
ZIP 63537
Phone: (660) 397-2400
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KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC is a rural health clinic center in Edina, MO. KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC NPI is 1346215944. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Health Center Of Edina.

The provider's business location address is:

205 S 5TH ST
EDINA, MO
ZIP 63537-526
Phone: (660) 397-2400

The provider's authorized official is Paula M Lalor .
The authorized official title is Director/delegated Official and has the following contact phone number (629) 215-3953.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 4/28/2021.

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
1	261QR1300X	Clinic/Center	Rural Health	462-4	MISSOURI	Yes

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
1	597774900	MEDICAID	MISSOURI
2	10294M	OTHER		BCBS

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: 5/5/2024

NPI Synchronization or Removal

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