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DANCING HORIZON HEALTH LC NPI 1346308749


NPI Information

NPI: 1346308749
Provider Name: DANCING HORIZON HEALTH LC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
2400 BOONSLICK DRIVE
BOONVILLE, MO
ZIP 65233
Phone: (660) 882-9840
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DANCING HORIZON HEALTH LC is a medical specialty clinic center in Boonville, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DANCING HORIZON HEALTH LC NPI is 1346308749. The provider is registered as an organization entity type.

The provider's business location address is:

2400 BOONSLICK DRIVE
BOONVILLE, MO
ZIP 65233
Phone: (660) 882-9840
Fax: (660) 882-3504

The provider's authorized official is Kevin W Louderback .
The authorized official title is Manager and has the following contact phone number (417) 429-2181.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 10/22/2007.


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
1261QM2500XClinic/CenterMedical SpecialtyR1F83MISSOURIYes

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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