DEXTER HOSPITAL LLC NPI 1427350594

NPI Information

  • NPI: 1427350594
  • Provider Name: DEXTER HOSPITAL LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: THE CLINIC AT WALMART
  • Address: 2025 W BUS HWY 60
    DEXTER, MO
    ZIP 63841
  • Phone: (573) 624-7575

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NPI Details

DEXTER HOSPITAL LLC is a family medicine in Dexter, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DEXTER HOSPITAL LLC NPI is 1427350594. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Clinic At Walmart.

The provider's business location address is:

2025 W BUS HWY 60
DEXTER, MO
ZIP 63841
Phone: (573) 624-7575
Fax: (573) 624-6399

The provider's authorized official is Sueann Williams .
The authorized official title is Clinic Administrator and has the following contact phone number (573) 624-1640.

The enumeration date for this NPI number is 11/23/2010 and was last updated on 11/23/2010.

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
1207Q00000XFamily MedicineYes

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
1000014373MEDICARE 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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