CORE HEALTH LLC NPI 1689095895

NPI Information

NPI: 1689095895
Provider Name: CORE HEALTH, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
19550 E 39TH ST S
SUITE 235
INDEPENDENCE, MO
ZIP 64057
Phone: (816) 404-9120
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CORE HEALTH, LLC is a general practice in Independence, MO. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CORE HEALTH, LLC NPI is 1689095895. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19550 E 39TH ST S
SUITE 235
INDEPENDENCE, MO
ZIP 64057-303
Phone: (816) 404-9120

The provider's authorized official is Jason F Moss .
The authorized official title is Owner and has the following contact phone number (816) 404-9120.

The enumeration date for this NPI number is 12/16/2013 and was last updated on 4/11/2014.

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
1	111N00000X	Chiropractor		2007035558	MISSOURI	No
2	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine	2010003837	MISSOURI	No
3	208D00000X	General Practice		2010003837	MISSOURI	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	K67000025	MEDICARE OSCAR/CERTIFICATION	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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