DOROTHY M. MUNCH D.O. LLC NPI 1952550485

NPI Information

  • NPI: 1952550485
  • Provider Name: DOROTHY M. MUNCH, D.O., LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: POPLAR BLUFF WELLNESS CLINIC
  • CLIA Number: 26D1003101
  • Address: 930 N WESTWOOD BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 778-1620

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NPI Details

DOROTHY M. MUNCH, D.O., LLC is a family medicine in Poplar Bluff, 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. DOROTHY M. MUNCH, D.O., LLC NPI is 1952550485. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Poplar Bluff Wellness Clinic.

The provider's business location address is:

930 N WESTWOOD BLVD
POPLAR BLUFF, MO
ZIP 63901-242
Phone: (573) 778-1620
Fax: (573) 778-1486

The provider's authorized official is Paula J Mcalister .
The authorized official title is Administrator and has the following contact phone number (573) 778-1697.

The CLIA number assigned to this NPI record is 26D1003101 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/9/2008 and was last updated on 9/9/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine36720MISSOURIYes

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
1242613084MEDICAIDMISSOURI
21922003276OTHERMISSOURIINDIVIDUAL NPI
3P00109903OTHERMISSOURIMEDICARE RAILROAD
4164653OTHERMISSOURIBLUE CROSS BLUE SHIELD
5E14668MEDICARE UPINMISSOURI
6000000E14668OTHERMISSOURIPREMIER BENEFITS
7242613073MEDICAIDMISSOURI
826D1003101OTHERMISSOURICLIA
9000095568MEDICARE PINMISSOURI
10915331OTHERUNITED HEALTH CARE

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: 3/30/2025

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