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FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MISSOURI PC NPI 1912089160


NPI Information

NPI: 1912089160
Provider Name: FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MISSOURI, PC

Doing Business As: WARRENSBURG RURAL HEALTH CLINIC

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

Specialization: Rural Health

CLIA Number: 26D0882504

Address:
513 BURKARTH RD
WARRENSBURG, MO
ZIP 64093
Phone: (660) 747-7751
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FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MISSOURI, PC is a rural health clinic center in Warrensburg, MO. FAMILY PRACTICE ASSOCIATES OF WEST CENTRAL MISSOURI, PC NPI is 1912089160. The provider is registered as an organization entity type.
The provider Is Doing Business As Warrensburg Rural Health Clinic.

The provider's business location address is:

513 BURKARTH RD
WARRENSBURG, MO
ZIP 64093-103
Phone: (660) 747-7751
Fax: (660) 747-8398

The provider's authorized official is David V Pulliam .
The authorized official title is Officer and has the following contact phone number (660) 584-7751.

The CLIA number assigned to this NPI record is 26D0882504 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/8/2014.


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
1261QR1300XClinic/CenterRural HealthYes

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
1596851105MEDICAIDMISSOURI
2263820MEDICARE OSCAR/CERTIFICATIONMISSOURI

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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