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KNIGHTS OF COLUMBUS 3151 ST. FRANCIS XAVIER NPI 1871630590


NPI Information

NPI: 1871630590
Provider Name: KNIGHTS OF COLUMBUS 3151 ST. FRANCIS XAVIER

Doing Business As: COLUMBUS CARE CENTER

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
829 TANNER ST
SIKESTON, MO
ZIP 63801
Phone: (573) 471-1902
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KNIGHTS OF COLUMBUS 3151 ST. FRANCIS XAVIER is an adult day care clinic center in Sikeston, MO. KNIGHTS OF COLUMBUS 3151 ST. FRANCIS XAVIER NPI is 1871630590. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbus Care Center.

The provider's business location address is:

829 TANNER ST
SIKESTON, MO
ZIP 63801-261
Phone: (573) 471-1902
Fax: (573) 471-3494

The provider's authorized official is Mary E Pearson .
The authorized official title is Director and has the following contact phone number (573) 471-1902.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 6/16/2008.


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
1261QA0600XClinic/CenterAdult Day Care601MISSOURIYes

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
1294806203MEDICAIDMISSOURI

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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