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Contact Information

AUDRAIN HEALTH CARE, INC.
600 MEDICAL PARK DR
MEXICO, MO65265-3724
 Phone: 573-581-8500
 Fax: 573-581-5397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AUDRAIN HEALTH CARE, INC.

NPI # 1962698134
LBN Legal business name AUDRAIN HEALTH CARE, INC.
Authorized official DAVE NEUENDORF - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/20/2007
Last updated 01/31/2008 - About 18 years ago
Identifiers
MO License # 2001014673
MO License # MD31094
MO License # R9143
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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