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NPI Code Detail

MEDICARE: NEVADA CITY HOSPITAL

MEDICARE: NEVADA CITY HOSPITAL
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
1251G00000XCommunity Based Hospice Care AgencyMO
2251E00000XHome Health AgencyMO

Other Identifiers

General Provider Information

NPI Number : 1033109517
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEVADA CITY HOSPITAL
Provider Business Mailing Address
First Line : 800 S. ASH
Second Line :
City : NEVADA
State : MO
Zip : 64772-3223
Country : US
Telephone Number : 417-667-3355
Fax Number : 417-448-3691
Provider Business Practice Location Address
First Line : 800 S. ASH
Second Line :
City : NEVADA
State : MO
Zip : 64772-3223
Country : US
Telephone Number : 417-667-3355
Fax Number : 417-448-3691
Authorized Official
Title or Position : CFO
Name : MR. GREG L SHAW
Credential :
Telephone Number : 417-448-3618
Provider Enumeration Date : 10/25/2005
Last Update Date : 06/02/2014

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Directions to “NEVADA CITY HOSPITAL ” Practice Location

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