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EASTERN MISSOURI GENERAL SERVICES INC NPI 1467518464


NPI Information

NPI: 1467518464
Provider Name: EASTERN MISSOURI GENERAL SERVICES INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
322 NO STATE STREET
DESLOGE, MO
ZIP 63601
Phone: (573) 431-4510
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EASTERN MISSOURI GENERAL SERVICES INC is a family medicine in Desloge, 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. EASTERN MISSOURI GENERAL SERVICES INC NPI is 1467518464. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

322 NO STATE STREET
DESLOGE, MO
ZIP 63601-052
Phone: (573) 431-4510
Fax: (573) 431-4790

The provider's authorized official is Riohard Martin Secor .
The authorized official title is President Physician and has the following contact phone number (573) 431-4510.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.


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 Medicine10179MISSISSIPPINo
2207Q00000XFamily MedicineR9A44MISSOURIYes

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
10130013OTHERUNITED HEALTH CARE
2101430OTHERMISSOURIHL HEALTHLINK
3103OTHERGHP GROUP HEALTH PLAN
425000OTHERMISSOURIBCBS
504232001OTHERMISSOURIAETNA
64384846OTHERAETNA

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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