NPI 1003096306 SPINE MIDWEST, INC JEFFERSON CITY MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Spine Midwest, Inc - NPI: 1003096306

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: SPINE MIDWEST, INC
NPI Number: 1003096306
Entity Type Code: Organizational (2)
Authorized Official Name: WILLIAM BLAKE RODGERS
(PRESIDENT)
Mailing Address: 200 Saint Marys Medical Plz Suite 301
Jefferson City
State: MO US
Postal Code: 651011604
Phone Number: 5736344212
Fax Number:
NPI Enumeration Date: 11/05/2007
NPI Last Update Date: 11/05/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QM1300X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Multi-Specialty
Taxonomy Definition:


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