NPI 1134172323 PROREHAB, PC BALLWIN MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Prorehab, Pc - NPI: 1134172323

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: PROREHAB, PC
NPI Number: 1134172323
Entity Type Code: Organizational (2)
Authorized Official Name: DORENE MACK
(A/R MANAGER)
Mailing Address: 107 Progress Pkwy
Sullivan
State: MO US
Postal Code: 630802359
Phone Number: 5738605901
Fax Number: 5738605903
NPI Enumeration Date: 05/18/2006
NPI Last Update Date: 06/12/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QP2000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Physical Therapy
Taxonomy Definition:


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