MEDICARE: JULIE EDMONDSON

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	225X00000X	Occupational Therapist	004382	MO

Other Identifiers

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

General Provider Information

NPI Number	:	1972799336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE EDMONDSON

Provider Business Mailing Address
First Line	:	1500 N OAKLAND AVE
Second Line	:
City	:	BOLIVAR
State	:	MO
Zip	:	65613-3011
Country	:	US
Telephone Number	:	417-328-6258
Fax Number	:	417-628-6242

Provider Business Practice Location Address
First Line	:	750 W COOPER ST
Second Line	:
City	:	BUFFALO
State	:	MO
Zip	:	65622-8662
Country	:	US
Telephone Number	:	417-345-5413
Fax Number	:	417-345-8674

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	09/19/2007

Similar Medicare Providers

1346229481 — CITIZENS MEMORIAL HEALTH CARE FOUNDATION
Practice Location Address:

750 W COOPER ST
BUFFALO, MO
65622-8662

Practice Phone: 417-345-2228
Practice Fax: 417-345-8674

1861688210 — MR. GONZALO REMULLA II
Practice Location Address:

750 W COOPER ST
BUFFALO, MO
65622-8662

Practice Phone: 417-345-5413
Practice Fax: 417-345-8674

1407042864 — TISHA PINON
Practice Location Address:

750 W COOPER ST
BUFFALO, MO
65622-8662

Practice Phone: 417-345-5413
Practice Fax: 417-345-8674

1396931754 — TERESA LARIMER
Practice Location Address:

750 W COOPER ST
BUFFALO, MO
65622-8662

Practice Phone: 417-345-5413
Practice Fax: 417-345-8674

1588658900 — DEACONESS LONG TERM CARE OF OHIO, INC.
Practice Location Address:

631 W MAIN ST
BUFFALO, MO
65622-7496

Practice Phone: 417-345-5422
Practice Fax: 417-345-5424

1063496560 — SANDY S. ELLIS MSW, LCSW
Practice Location Address:

202 N WALNUT ST
BUFFALO, MO
65622-7449

Practice Phone: 417-345-8855
Practice Fax: 417-345-8855

Directions to “ JULIE EDMONDSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.