EUSTASIS FOUNDATION INC NPI 1386257780

NPI Information

NPI: 1386257780
Provider Name: EUSTASIS FOUNDATION, INC
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization

CLIA Number: 26D2237675

Address:
3100 S NATIONAL AVE STE 103
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 427-6103
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EUSTASIS FOUNDATION, INC is a voluntary or charitable in Springfield, MO. EUSTASIS FOUNDATION, INC NPI is 1386257780. The provider is registered as an organization entity type.

The provider's business location address is:

3100 S NATIONAL AVE STE 103
SPRINGFIELD, MO
ZIP 65807-347
Phone: (417) 427-6103
Fax: (417) 350-1935

The provider's authorized official is Alisha Breanna Jain .
The authorized official title is President and has the following contact phone number (417) 322-6622.

The CLIA number assigned to this NPI record is 26D2237675 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2020 and was last updated on 8/25/2020.

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	251V00000X	Voluntary or Charitable				Yes

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

NPI Synchronization or Removal

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