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DIABETES CLINICARE & WELLNESS SPRINGFIELD LLC NPI 1548988835


NPI Information

NPI: 1548988835
Provider Name: DIABETES CLINICARE & WELLNESS SPRINGFIELD LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D2271532

Address:
1649 S ENTERPRISE AVE
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 771-5266
Get Directions

DIABETES CLINICARE & WELLNESS SPRINGFIELD LLC is a family medicine in Springfield, 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. DIABETES CLINICARE & WELLNESS SPRINGFIELD LLC NPI is 1548988835. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1649 S ENTERPRISE AVE
SPRINGFIELD, MO
ZIP 65804-850
Phone: (417) 771-5266
Fax: (417) 590-8232

The provider's authorized official is Ricky Tucker .
The authorized official title is Manager and has the following contact phone number (417) 413-1351.

The CLIA number assigned to this NPI record is 26D2271532 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2022 and was last updated on 8/22/2022.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
2363LF0000XNurse PractitionerFamilyNo
3207Q00000XFamily MedicineYes

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

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