Healthcare Provider Details

I. General information

NPI: 1407750078
Provider Name (Legal Business Name): MEDCURE PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 S LEXINGTON ST STE 100
HARRISONVILLE MO
64701-2443
US

IV. Provider business mailing address

117 S LEXINGTON ST STE 100
HARRISONVILLE MO
64701-2443
US

V. Phone/Fax

Practice location:
  • Phone: 92-888-8926
  • Fax: 213-753-3332
Mailing address:
  • Phone: 928-888-9263
  • Fax: 213-753-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MATHEW WILLIAMS
Title or Position: MANAGER
Credential:
Phone: 928-888-9263