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Contact Information

NEW MEDICO HEALTHCARE CORPORATION
3361 S SPRINGFIELD AVE
BOLIVAR, MO65613-9132
 Phone: 417-777-1182
 Fax: 417-777-1183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for NEW MEDICO HEALTHCARE CORPORATION · (Female)

NPI # 1245250091
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2006
Last updated 09/25/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # R4566
  • KS License # 04-15475
  • MO License # 002181
  • MO License # 20010000520
  • MO License # 33294
  • TN License # 0000029442
  • AR Medicaid 127191001
  • AR Medicaid 128988002
  • MO Medicaid 208100107
  • MO Medicaid 493986483
  • MO Medicaid 498904515
  • MO Medicaid 505355909
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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