Healthcare Provider Details

I. General information

NPI: 1578462743
Provider Name (Legal Business Name): EQUALITY HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2026
Last Update Date: 11/04/2026
Certification Date: 11/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W COLLEGE ST STE 100
SPRINGFIELD MO
65806-1250
US

IV. Provider business mailing address

420 W COLLEGE ST STE 100
SPRINGFIELD MO
65806-1250
US

V. Phone/Fax

Practice location:
  • Phone: 417-633-7020
  • Fax: 417-633-7024
Mailing address:
  • Phone: 417-633-7020
  • Fax: 417-633-7024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: TERESA JEAN HARRELL
Title or Position: OWNER
Credential: MD
Phone: 417-633-7020