CMC COMO LLC NPI 1477380632

NPI Information

  • NPI: 1477380632
  • Provider Name: CMC COMO LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: CORE MEDICAL CENTER
  • Address: 305 N KEENE ST STE 105A
    COLUMBIA, MO
    ZIP 65201
  • Phone: (512) 866-3512

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NPI Details

CMC COMO LLC is a multi-specialty clinic center in Columbia, MO. CMC COMO LLC NPI is 1477380632. The provider is registered as an organization entity type.
The provider Is Doing Business As Core Medical Center.

The provider's business location address is:

305 N KEENE ST STE 105A
COLUMBIA, MO
ZIP 65201-897
Phone: (512) 866-3512
Fax: (816) 229-7085

The provider's authorized official is Aston Goldsworthy .
The authorized official title is Ceo and has the following contact phone number (512) 866-3512.

The enumeration date for this NPI number is 9/19/2024 and was last updated on 11/15/2024.

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
1225X00000XOccupational TherapistNo
2261QM1300XClinic/CenterMulti-SpecialtyYes
3261QP2000XClinic/CenterPhysical TherapyNo
4261QP3300XClinic/CenterPainNo

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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