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NPI Code Detail

MEDICARE: MINERAL AREA HEALTH SERVICES, INC

MEDICARE: MINERAL AREA HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)
3332BX2000XOxygen Equipment & Supplies (DME)
4333600000XPharmacy

General Provider Information

NPI Number : 1710950795
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINERAL AREA HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 1101 WEBER RD
Second Line : SUITE 103
City : FARMINGTON
State : MO
Zip : 63640-3326
Country : US
Telephone Number : 573-756-7583
Fax Number : 573-701-9885
Provider Business Practice Location Address
First Line : 1101 WEBER RD
Second Line : SUITE 103
City : FARMINGTON
State : MO
Zip : 63640-3326
Country : US
Telephone Number : 573-756-7583
Fax Number : 573-701-9885
Authorized Official
Title or Position : CFO
Name : MR. RICK JENKINS
Credential :
Telephone Number : 573-756-4581
Provider Enumeration Date : 02/09/2006
Last Update Date : 09/11/2025

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Directions to “MINERAL AREA HEALTH SERVICES, INC ” Practice Location

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