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Contact Information

FC OF MISSOURI INC
4305 S. NATIONAL AVE
SPRINGFIELD, MO65810-2607
 Phone: 417-883-5118
 Fax: 417-883-7436
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Home Health Aide

374U00000X
 

Homemaker

376J00000X
 

Personal Care Attendant

3747P1801X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for FC OF MISSOURI INC

NPI # 1720060304
LBN Legal business name FC OF MISSOURI INC
Authorized official PAUL FOSTER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/18/2005
Last updated 04/19/2016 - About 10 years ago
Identifiers
MO License # 0002286
MO License # 263539801
MO License # 283539807
MO License # 750-7HH
MO License # 943539809
MO License # HHA7502
MO Medicaid 283539807
MO Medicaid 581962909
MO Medicaid 943539809
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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