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EAST MISSOURI ACTION AGENCY INC NPI 1972756633


NPI Information

NPI: 1972756633
Provider Name: EAST MISSOURI ACTION AGENCY, INC
Classification: Clinic/Center - 261QF0050X
Entity Type: Organization

Specialization: Family Planning, Non-Surgical

CLIA Number: 26D0864835

Address:
606 WEST RUSSELL
IRONTON, MO
ZIP 63650
Phone: (573) 431-5191
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EAST MISSOURI ACTION AGENCY, INC is a family planning and non-surgical clinic center in Ironton, MO. The provider is an entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. EAST MISSOURI ACTION AGENCY, INC NPI is 1972756633. The provider is registered as an organization entity type.

The provider's business location address is:

606 WEST RUSSELL
IRONTON, MO
ZIP 63650
Phone: (573) 431-5191
Fax: (573) 431-7449

The provider's authorized official is Angel G Prather .
The authorized official title is Women's Wellness Center Director and has the following contact phone number (573) 431-5191.

The CLIA number assigned to this NPI record is 26D0864835 - other - public non for profit tit with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.


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
1261QF0050XClinic/CenterFamily Planning, Non-SurgicalYes

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
1520526013MEDICAIDMISSOURI

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: 5/5/2024

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