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DANCING HORIZON HEALTH FOUNDATION INC. NPI 1538181409


NPI Information

NPI: 1538181409
Provider Name: DANCING HORIZON HEALTH FOUNDATION, INC.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
2400 BOONSLICK DRIVE
BOONVILLE, MO
ZIP 65233
Phone: (660) 882-9840
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DANCING HORIZON HEALTH FOUNDATION, INC. is a clinic center in Boonville, 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). DANCING HORIZON HEALTH FOUNDATION, INC. NPI is 1538181409. The provider is registered as an organization entity type and is a multiple single specialty group.

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 Managing Partner and has the following contact phone number (417) 429-2180.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 7/18/2008.


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
1207Q00000XFamily MedicineRIF83MISSOURINo
2261Q00000XClinic/CenterMISSOURIYes

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
1001013567MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
2000015362MEDICARE PINMISSOURI
3202805958MEDICAIDMISSOURI
4000081167MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
5501465009MEDICAIDMISSOURI

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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