Healthcare Provider Details

I. General information

NPI: 1396560611
Provider Name (Legal Business Name): NEW HOPE MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2024
Last Update Date: 11/21/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 N WEST STREET
SIKESTON MO
63801-2332
US

IV. Provider business mailing address

124 N WEST STREET
SIKESTON MO
63801-2332
US

V. Phone/Fax

Practice location:
  • Phone: 573-471-5314
  • Fax:
Mailing address:
  • Phone: 573-471-5314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MRS. THELMA LOUISE WHITE
Title or Position: ADMINISTRATOR/OFFICE MANAGER
Credential:
Phone: 573-471-5314