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SOUTHWEST MO FOOT CLINICS NPI 1588858997


NPI Information

NPI: 1588858997
Provider Name: SOUTHWEST MO FOOT CLINICS
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2024 S MAIDEN LN STE 201
JOPLIN, MO
ZIP 64804
Phone: (417) 782-7500
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SOUTHWEST MO FOOT CLINICS is a durable medical equipment medical supplies in Joplin, MO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SOUTHWEST MO FOOT CLINICS NPI is 1588858997. The provider is registered as an organization entity type.

The provider's business location address is:

2024 S MAIDEN LN STE 201
JOPLIN, MO
ZIP 64804-319
Phone: (417) 782-7500
Fax: (417) 782-7524

The provider's authorized official is Matthew B Richins .
The authorized official title is President and has the following contact phone number (417) 782-7500.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 9/12/2018.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment2006009605MISSOURINo
2335E00000XProsthetic/Orthotic Supplier2006009605MISSOURINo
3332B00000XDurable Medical Equipment & Medical Supplies2006009605MISSOURIYes

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
1000015173OTHERMISSOURIMEDICARE GROUP MO
2114142OTHERKANSASKANSAS MEDICARE PROVIDER
3114206OTHERKANSASKANSAS MEDICARE GROUP
4504920901MEDICAIDMISSOURI
5301595708MEDICAIDMISSOURI
6P00408461OTHERMISSOURIRAILROAD MEDICARE PROVIDE
7212522OTHERMISSOURIBCBS MO
8DG0016OTHERMISSOURIRAILROAD MEDICARE GROUP
920422090BMEDICAIDKANSAS
10626280200MEDICAIDMISSOURI

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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