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MOSAIC MEDICAL CENTER - MARYVILLE NPI 1598239790


NPI Information

NPI: 1598239790
Provider Name: MOSAIC MEDICAL CENTER - MARYVILLE

Doing Business As: MOSAIC SPECIALTY CARE - EAST

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
114 E SOUTH HILLS DR
MARYVILLE, MO
ZIP 64468
Phone: (660) 562-2525
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MOSAIC MEDICAL CENTER - MARYVILLE is a rural health clinic center in Maryville, MO. MOSAIC MEDICAL CENTER - MARYVILLE NPI is 1598239790. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mosaic Specialty Care - East.

The provider's business location address is:

114 E SOUTH HILLS DR
MARYVILLE, MO
ZIP 64468-659
Phone: (660) 562-2525
Fax: (660) 562-4303

The provider's authorized official is Dwight R Carvell .
The authorized official title is Director Of Reimburement and has the following contact phone number (816) 273-0473.

The enumeration date for this NPI number is 1/22/2019 and was last updated on 6/10/2019.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5363LF0000XNurse PractitionerFamilyNo
6261QR1300XClinic/CenterRural HealthYes

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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