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CORIZON HEALTH NPI 1528441276


NPI Information

NPI: 1528441276
Provider Name: CORIZON HEALTH
Classification: Clinic/Center - 261QP2400X
Entity Type: Organization

Specialization: Prison Health

Address:
3702 W TRUMAN BLVD
SUITE 104
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 635-5315
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CORIZON HEALTH is a prison health clinic center in Jefferson City, MO. CORIZON HEALTH NPI is 1528441276. The provider is registered as an organization entity type.

The provider's business location address is:

3702 W TRUMAN BLVD
SUITE 104
JEFFERSON CITY, MO
ZIP 65109-970
Phone: (573) 635-5315

The provider's authorized official is Randy Bullington .
The authorized official title is Missouri Regional Physician Recruit and has the following contact phone number (573) 635-5315.

The enumeration date for this NPI number is 6/30/2015 and was last updated on 6/30/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2400XClinic/CenterPrison Health2015015777MISSOURIYes

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: 5/5/2024

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.