SOCIAL WELFARE BOARD OF THE COUNTY OF BUCHANAN NPI 1699411595

NPI Information

NPI: 1699411595
Provider Name: SOCIAL WELFARE BOARD OF THE COUNTY OF BUCHANAN

Doing Business As: SOCIAL WELFARE BOARD DENTAL OF BUCHANAN COUNTY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
904 S 10TH ST STE A
SAINT JOSEPH, MO
ZIP 64503
Phone: (816) 233-5189
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SOCIAL WELFARE BOARD OF THE COUNTY OF BUCHANAN is a dental clinic center in Saint Joseph, MO. SOCIAL WELFARE BOARD OF THE COUNTY OF BUCHANAN NPI is 1699411595. The provider is registered as an organization entity type.
The provider Is Doing Business As Social Welfare Board Dental Of Buchanan County.

The provider's business location address is:

904 S 10TH ST STE A
SAINT JOSEPH, MO
ZIP 64503-400
Phone: (816) 233-5189
Fax: (816) 344-5247

The provider's authorized official is Linda Carmel Judah .
The authorized official title is Executive Director and has the following contact phone number (816) 344-5201.

The enumeration date for this NPI number is 5/12/2022 and was last updated on 5/31/2022.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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
1	1497024145	MEDICAID	MISSOURI

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

NPI Synchronization or Removal

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