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NPI Code Detail

MEDICARE: PLATTE CO. R-III

MEDICARE: PLATTE CO. R-III
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1356728349
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLATTE CO. R-III
Provider Business Mailing Address
First Line : 998 PLATTE FALLS RD
Second Line :
City : PLATTE CITY
State : MO
Zip : 64079-7330
Country : US
Telephone Number : 816-858-5420
Fax Number : 816-858-5593
Provider Business Practice Location Address
First Line : 998 PLATTE FALLS RD
Second Line :
City : PLATTE CITY
State : MO
Zip : 64079-7330
Country : US
Telephone Number : 816-858-5420
Fax Number : 816-858-5593
Authorized Official
Title or Position : SPECIAL SERVICES DIRECTOR
Name : JENNIFER BEUTEL
Credential : ED. D
Telephone Number : 816-858-5420
Provider Enumeration Date : 04/29/2015
Last Update Date : 04/29/2015

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Directions to “PLATTE CO. R-III ” Practice Location

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