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Contact Information

CLAY EMERGENCY GROUP LLC
2525 GLENN HENDREN DR
LIBERTY, MO64068-9625
 Phone: 800-893-9698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CLAY EMERGENCY GROUP LLC

NPI # 1972941979
LBN Legal business name CLAY EMERGENCY GROUP LLC
Authorized official LISHA FALK - (VP OF CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2013
Last updated 02/16/2016 - About 10 years ago
Identifiers
MO Medicaid 1972941979
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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