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NPI Code Detail

MEDICARE: BREECH REGIONAL MEDICAL CENTER

MEDICARE: BREECH REGIONAL MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BX2000XOxygen Equipment & Supplies (DME)2003026558MO

General Provider Information

NPI Number : 1023002805
Entity Type Code : Organization
Provider Name (Legal Business Name) : BREECH REGIONAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 100 HOSPITAL DR
Second Line :
City : LEBANON
State : MO
Zip : 65536-9210
Country : US
Telephone Number : 417-588-9330
Fax Number : 417-588-0217
Provider Business Practice Location Address
First Line : 1200 DEADRA DR
Second Line :
City : LEBANON
State : MO
Zip : 65536-4669
Country : US
Telephone Number : 417-588-9330
Fax Number : 417-588-0217
Authorized Official
Title or Position : BOARD CHAIR
Name : MR. DAVID E. WILHITE
Credential :
Telephone Number : 417-532-3177
Provider Enumeration Date : 09/07/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1336125822 — MARTHA J FRAZIER MA
Practice Location Address:
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65536-4669
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1306822515 — PHILIP V GIBLIN MSW, LCSW
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1922108422 — DR. RANDAL T QUALLS M.D.
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1356410526 — MERCY HOSPITAL SPRINGFIELD
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1669517249 — RUTH ROADY-MOSELEY LPC
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1962531855 — LISA MICHELLE DELANEY M.D.
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Directions to “BREECH REGIONAL MEDICAL CENTER ” Practice Location

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