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FC OF MISSOURI INC NPI 1720060304


NPI Information

NPI: 1720060304
Provider Name: FC OF MISSOURI INC

Doing Business As: INTREPID USA HEALTHCARE SERVICES

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
4305 S. NATIONAL AVE
SPRINGFIELD, MO
ZIP 65810
Phone: (417) 883-5118
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FC OF MISSOURI INC is a home health in Springfield, MO. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. FC OF MISSOURI INC NPI is 1720060304. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Intrepid Usa Healthcare Services.

The provider's business location address is:

4305 S. NATIONAL AVE
SPRINGFIELD, MO
ZIP 65810-607
Phone: (417) 883-5118
Fax: (417) 883-7436

The provider's authorized official is Paul D Foster .
The authorized official title is Ceo and has the following contact phone number (214) 445-3750.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 4/19/2016.


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
1163W00000XRegistered NurseHHA7502MISSOURINo
2163W00000XRegistered Nurse943539809MISSOURINo
3251E00000XHome HealthHHA7502MISSOURINo
43747P1801XTechnicianPersonal Care Attendant263539801MISSOURINo
5374U00000XHome Health Aide0002286MISSOURINo
6376J00000XHomemakerHHA7502MISSOURINo
7376J00000XHomemaker283539807MISSOURINo
8251E00000XHome Health750-7HHMISSOURIYes

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
1581962909MEDICAIDMISSOURI
2267168MEDICARE OSCAR/CERTIFICATION
3283539807MEDICAIDMISSOURI
4943539809MEDICAIDMISSOURI

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

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.