CALVARY MEDICAL CENTER LLC NPI 1528263464

NPI Information

CALVARY MEDICAL CENTER, LLC is a family medicine in Newark, 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. CALVARY MEDICAL CENTER, LLC NPI is 1528263464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

450 NEW CREATION ROAD NORTH
NEWARK, MO
ZIP 63458-744
Phone: (660) 284-4300
Fax: (660) 284-4339

The provider's authorized official is Wendell A Nickerson .
The authorized official title is Owner and has the following contact phone number (660) 284-4300.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 11/9/2010.

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:

Other Identifiers

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