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WOODS MEDICAL CLINIC LLC NPI 1578682779


NPI Information

NPI: 1578682779
Provider Name: WOODS MEDICAL CLINIC, LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 26D0904604

Address:
250 S HICKMAN ST
PUXICO, MO
ZIP 63960
Phone: (573) 222-2292
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WOODS MEDICAL CLINIC, LLC is a rural health clinic center in Puxico, MO. WOODS MEDICAL CLINIC, LLC NPI is 1578682779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 S HICKMAN ST
PUXICO, MO
ZIP 63960-122
Phone: (573) 222-2292
Fax: (573) 222-2383

The provider's authorized official is Randy Lynn Woods .
The authorized official title is Owner and has the following contact phone number (573) 222-2292.

The CLIA number assigned to this NPI record is 26D0904604 - rural health clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 3/5/2021.


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
1208D00000XGeneral PracticeNo
2261QR1300XClinic/CenterRural HealthYes

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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