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Contact Information

DEXTER HOSPTIAL LLC
1300 N ONE MILE RD
SUITE 1
DEXTER, MO63841
 Phone: 573-624-7788
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEXTER HOSPTIAL LLC

NPI # 1477613370
LBN Legal business name DEXTER HOSPTIAL LLC
Authorized official SUE ANN WILLIAMS - (CLINIC ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 04/09/2008 - About 18 years ago
Identifiers
MO Other DC5219 RAILROAD MEDICARE
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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