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NPI Code Detail

MEDICARE: REGIONAL SERVICES

MEDICARE: REGIONAL SERVICES
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
1261QR1300XRural Health Clinic/Center

General Provider Information

NPI Number : 1023188562
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGIONAL SERVICES
Provider Business Mailing Address
First Line : PO BOX 4046
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65808-4046
Country : US
Telephone Number : 417-269-7834
Fax Number : 417-269-7567
Provider Business Practice Location Address
First Line : 816 E MAIN ST
Second Line :
City : WILLOW SPRINGS
State : MO
Zip : 65793-1518
Country : US
Telephone Number : 417-469-3116
Fax Number : 417-469-3151
Authorized Official
Title or Position : VICE PRESIDENT
Name : DAVID P TAYLOR
Credential :
Telephone Number : 417-269-6262
Provider Enumeration Date : 11/09/2006
Last Update Date : 08/22/2020

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Directions to “REGIONAL SERVICES ” Practice Location

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