PHYSICIAN GROUPS LC NPI 1427114990

NPI Information

NPI: 1427114990
Provider Name: PHYSICIAN GROUPS LC

Doing Business As: MEDICAL ARTS CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1103 W LIBERTY
FARMINGTON, MO
ZIP 63640
Phone: (573) 756-7651
Get Directions

PHYSICIAN GROUPS LC is a multi-specialty clinic center in Farmington, MO. PHYSICIAN GROUPS LC NPI is 1427114990. The provider is registered as an organization entity type.
The provider Is Doing Business As Medical Arts Clinic.

The provider's business location address is:

1103 W LIBERTY
FARMINGTON, MO
ZIP 63640-921
Phone: (573) 756-7651
Fax: (573) 756-6807

The provider's authorized official is Karen Canter-koester .
The authorized official title is Vp Operations And Strategy and has the following contact phone number (314) 996-7610.

The CLIA number assigned to this NPI record is 26D2247029 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/11/2016.

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			No
2	261QM1300X	Clinic/Center	Multi-Specialty			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
1	500590104	MEDICAID	MISSOURI
2	263947	MEDICARE OSCAR/CERTIFICATION	MISSOURI
3	000012642	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
4	596052704	MEDICAID	MISSOURI

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

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