MOSAIC MEDICAL CENTER - MARYVILLE NPI 1821562265

NPI Information

NPI: 1821562265
Provider Name: MOSAIC MEDICAL CENTER - MARYVILLE

Doing Business As: MOSAIC SPECIALTY CARE - WEST

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

Specialization: Rural Health

Address:
2016 S MAIN ST
MARYVILLE, MO
ZIP 64468
Phone: (660) 562-2525
Get Directions

MOSAIC MEDICAL CENTER - MARYVILLE is a rural health clinic center in Maryville, MO. MOSAIC MEDICAL CENTER - MARYVILLE NPI is 1821562265. The provider is registered as an organization entity type.
The provider Is Doing Business As Mosaic Specialty Care - West.

The provider's business location address is:

2016 S MAIN ST
MARYVILLE, MO
ZIP 64468-655
Phone: (660) 562-2525
Fax: (660) 526-4303

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

The CLIA number assigned to this NPI record is 26D0444865 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2019 and was last updated on 3/1/2019.

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
1	261QR1300X	Clinic/Center	Rural Health			Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »