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MID-MISSOURI CLINIC OF CHIROPRACTIC LLC NPI 1497077101


NPI Information

NPI: 1497077101
Provider Name: MID-MISSOURI CLINIC OF CHIROPRACTIC LLC

Former Legal Business Name: MID-MISSOURI CLINIC OF CHIROPRACTIC

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
19 EAST WALNUT STREET
SUITE F
COLUMBIA, MO
ZIP 65203
Phone: (573) 256-6789
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MID-MISSOURI CLINIC OF CHIROPRACTIC LLC is a point of service in Columbia, MO. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. MID-MISSOURI CLINIC OF CHIROPRACTIC LLC NPI is 1497077101. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mid-missouri Clinic Of Chiropractic.

The provider's business location address is:

19 EAST WALNUT STREET
SUITE F
COLUMBIA, MO
ZIP 65203-505
Phone: (573) 256-6789
Fax: (573) 443-4821

The provider's authorized official is Caitlin E Hunnicutt .
The authorized official title is Office Manager and has the following contact phone number (573) 256-6789.

The enumeration date for this NPI number is 2/22/2010 and was last updated on 7/10/2015.


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
1305S00000XPoint of Service2008027069MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11528396124MEDICARE PINMISSOURI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.