Healthcare Provider Details

I. General information

NPI: 1770317125
Provider Name (Legal Business Name): BHC3 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2024
Last Update Date: 08/28/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 W BROADWAY PARK CT SUITE 102
COLUMBIA MO
65203-0031
US

IV. Provider business mailing address

32403 WOODLAND CT
ADEL IA
50003-2224
US

V. Phone/Fax

Practice location:
  • Phone: 573-442-4333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BAUMGART
Title or Position: PRESIDENT
Credential:
Phone: 402-880-6722