MATTHEW DILLION WILLIAMS NPI 1720646540

NPI Information

NPI: 1720646540
Provider Name: MATTHEW DILLION WILLIAMS
Classification: Clinic/Center - 261QA0600X
Entity Type: Individual

Specialization: Adult Day Care

Address:
963 SAINT CHRISTOPHER LN
NEW MADRID, MO
ZIP 63869
Phone: (573) 521-8529
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Matthew Dillion Williams is an adult day care clinic center in New Madrid, MO. Matthew Dillion Williams NPI is 1720646540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

963 SAINT CHRISTOPHER LN
NEW MADRID, MO
ZIP 63869-022
Phone: (573) 521-8529

The enumeration date for this NPI number is 6/5/2019 and was last updated on 6/5/2019.

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
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	841946865	MEDICAID	MISSOURI

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: 11/14/2023

NPI Synchronization or Removal

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