MEDICARE: UNITED MEDICAL SERVICES INC.

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
1	208VP0000X	Pain Medicine Physician		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	121789	OTHER		BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790783009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED MEDICAL SERVICES INC.

Provider Business Mailing Address
First Line	:	PO BOX 326
Second Line	:
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63702-0326
Country	:	US
Telephone Number	:	573-339-7185
Fax Number	:	573-339-1079

Provider Business Practice Location Address
First Line	:	319 S SILVER SPRINGS RD
Second Line	:	STE A
City	:	CAPE GIRARDEAU
State	:	MO
Zip	:	63703-6308
Country	:	US
Telephone Number	:	573-339-7185
Fax Number	:	573-339-1079

Authorized Official
Title or Position	:	SECRETARY/TREASURER
Name	:	MS. MARY TERESA BAUER
Credential	:
Telephone Number	:	573-339-7185

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	07/21/2022

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Directions to “UNITED MEDICAL SERVICES INC. ” Practice Location

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