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LACROIX MEDICAL CENTER NPI 1912023441


NPI Information

NPI: 1912023441
Provider Name: LACROIX MEDICAL CENTER

Doing Business As: RODERIC C CRIST

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3095 LEXINGTON AVE
SUITE 200
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 339-0004
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LACROIX MEDICAL CENTER is a family medicine in Cape Girardeau, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LACROIX MEDICAL CENTER NPI is 1912023441. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Roderic C Crist.

The provider's business location address is:

3095 LEXINGTON AVE
SUITE 200
CAPE GIRARDEAU, MO
ZIP 63701-602
Phone: (573) 339-0004
Fax: (573) 335-9974

The provider's authorized official is Roderic Clayton Crist .
The authorized official title is Doctor and has the following contact phone number (573) 339-0004.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 6/28/2012.


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
1207Q00000XFamily MedicineR2H52MISSOURIYes

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
1E59394MEDICARE UPINMISSOURI
2000095535MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

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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