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NEW MEDICO HEALTHCARE CORPORATION NPI 1245250091


NPI Information

NPI: 1245250091
Provider Name: NEW MEDICO HEALTHCARE CORPORATION
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
3361 S SPRINGFIELD AVE
BOLIVAR, MO
ZIP 65613
Phone: (417) 777-1182
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NEW MEDICO HEALTHCARE CORPORATION is a psychiatry psychiatry neurology in Bolivar, MO. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. NEW MEDICO HEALTHCARE CORPORATION NPI is 1245250091. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3361 S SPRINGFIELD AVE
BOLIVAR, MO
ZIP 65613-132
Phone: (417) 777-1182
Fax: (417) 777-1183

The provider's authorized official is Edilberto B Lorenzo .
The authorized official title is Owner and has the following contact phone number (417) 777-1182.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 9/25/2014.


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
1101YP2500XCounselorProfessional002181MISSOURINo
21041C0700XSocial WorkerClinical20010000520MISSOURINo
32084P0800XPsychiatry & NeurologyPsychiatry04-15475KANSASNo
42084P0805XPsychiatry & NeurologyGeriatric PsychiatryR4566ARKANSASNo
52084P0805XPsychiatry & NeurologyGeriatric Psychiatry0000029442TENNESSEENo
62084P0800XPsychiatry & NeurologyPsychiatry33294MISSOURIYes

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
1823122450MEDICARE PINMISSOURI
2E58805MEDICARE UPINMISSOURI
3498904515MEDICAIDMISSOURI
4000012450MEDICARE PINMISSOURI
53332863MEDICARE PINTENNESSEE
65J679MEDICARE ID-TYPE UNSPECIFIEDARKANSASARKANSAS MEDICARE
7505355909MEDICAIDMISSOURI
8001012450MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMO GROUP PROVIDER
93731008MEDICARE ID-TYPE UNSPECIFIEDTENNESSEETENNESSEE GROUP NUMBER
10128988002MEDICAIDARKANSAS
11DD9038MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEMEDICARE RAILROAD GROUP
12P00259222MEDICARE ID-TYPE UNSPECIFIEDTENNESSEERAILROAD GROUP PROVIDER
13127191001MEDICAIDARKANSAS
14208100107MEDICAIDMISSOURI
15493986483MEDICAIDMISSOURI

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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