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GRAIN VALLEY CENTER FOR FUNCTIONAL MEDICINE NPI 1134782915


NPI Information

NPI: 1134782915
Provider Name: GRAIN VALLEY CENTER FOR FUNCTIONAL MEDICINE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
203 S MAIN ST STE D
GRAIN VALLEY, MO
ZIP 64029
Phone: (816) 519-2930
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GRAIN VALLEY CENTER FOR FUNCTIONAL MEDICINE is a clinic center in Grain Valley, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GRAIN VALLEY CENTER FOR FUNCTIONAL MEDICINE NPI is 1134782915. The provider is registered as an organization entity type.

The provider's business location address is:

203 S MAIN ST STE D
GRAIN VALLEY, MO
ZIP 64029-703
Phone: (816) 519-2930

The provider's authorized official is Susan M Anschutz .
The authorized official title is Owner/chiropractor and has the following contact phone number (816) 519-2930.

The enumeration date for this NPI number is 4/17/2019 and was last updated on 4/17/2019.


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
1261Q00000XClinic/CenterYes

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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