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FICOM INC. NPI 1487001517


NPI Information

NPI: 1487001517
Provider Name: FICOM INC.

Doing Business As: FAITH IMMEDIATE CARE & OCCUPATIONAL MEDICINE

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 26D2111332

Address:
1308 N GLENSTONE AVE
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 832-1117
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FICOM INC. is an occupational medicine clinic center in Springfield, MO. FICOM INC. NPI is 1487001517. The provider is registered as an organization entity type.
The provider Is Doing Business As Faith Immediate Care & Occupational Medicine.

The provider's business location address is:

1308 N GLENSTONE AVE
SPRINGFIELD, MO
ZIP 65802-130
Phone: (417) 832-1117

The provider's authorized official is Kay Case .
The authorized official title is Clinic Manager and has the following contact phone number (417) 832-1117.

The CLIA number assigned to this NPI record is 26D2111332 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 5/18/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QX0100XClinic/CenterOccupational MedicineBUS201600322MISSOURIYes

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: 4/28/2024

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