Healthcare Provider Details

I. General information

NPI: 1396999686
Provider Name (Legal Business Name): BARNES HEALTH CARE MANAGEMENT GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 CORONA RD STE 102
COLUMBIA MO
65203-2582
US

IV. Provider business mailing address

2101 CORONA RD STE 102
COLUMBIA MO
65203-2582
US

V. Phone/Fax

Practice location:
  • Phone: 573-234-1800
  • Fax: 573-234-1799
Mailing address:
  • Phone: 573-234-1800
  • Fax: 573-234-1799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC A BARNES
Title or Position: OWNER
Credential: D.O.
Phone: 573-234-1800