Healthcare Provider Details

I. General information

NPI: 1871462796
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL HARRINGTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 NW 8TH ST
CONCORDIA MO
64020-2507
US

IV. Provider business mailing address

110 NW 8TH ST
CONCORDIA MO
64020-2507
US

V. Phone/Fax

Practice location:
  • Phone: 660-619-7391
  • Fax: 660-619-7391
Mailing address:
  • Phone: 660-619-7391
  • Fax: 660-619-7391

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: