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NPI Code Detail

MEDICARE: CURATORS OF THE UNIVERSITY OF MISSOURI

MEDICARE: CURATORS OF THE UNIVERSITY OF MISSOURI
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
1281P00000XChronic Disease Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972597219
Entity Type Code : Organization
Provider Name (Legal Business Name) : CURATORS OF THE UNIVERSITY OF MISSOURI
Provider Business Mailing Address
First Line : 121 UNVIVERSITY HALL
Second Line :
City : COLUMBIA
State : MO
Zip : 65211-0001
Country : US
Telephone Number : 573-884-2640
Fax Number :
Provider Business Practice Location Address
First Line : 600 N MAIN ST
Second Line :
City : MOUNT VERNON
State : MO
Zip : 65712-1004
Country : US
Telephone Number : 417-461-5216
Fax Number :
Authorized Official
Title or Position : CEO/COO
Name : MR. MITCHELL L. WASDEN
Credential :
Telephone Number : 573-884-8738
Provider Enumeration Date : 09/01/2005
Last Update Date : 03/07/2013

Similar Medicare Providers

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1093782211 — DR. JAMES R WILLIAMS MD
Practice Location Address:
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1053359158 — DR. CIELO MARIE MACA MD
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1336160688 — DR. JOEKIE BROUWER MD
Practice Location Address:
600 N MAIN ST
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65712-1004
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Practice Fax: 417-466-0193
1003837162 — MRS. JILL LYNETTE GRIESBAUM MS, RD
Practice Location Address:
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Practice Fax:
1013939065 — DR. ANNE FRANCES POLASEK O.D.
Practice Location Address:
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Practice Fax: 417-466-0126

Directions to “CURATORS OF THE UNIVERSITY OF MISSOURI ” Practice Location

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