National Provider Identifier Database

DANCING HORIZON HEALTH FOUNDATION INC
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).


Contact Information

DANCING HORIZON HEALTH FOUNDATION, INC.
2400 BOONSLICK DRIVE
BOONVILLE, MO65233
Phone: 660-882-9840
Fax: 660-882-3504
Website:
Specialty Taxonomy Code
* Clinic/Center 261Q00000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for DANCING HORIZON HEALTH FOUNDATION, INC.

NPI Number 1538181409
Legal business name
LBN
DANCING HORIZON HEALTH FOUNDATION, INC.
Authorized official KEVIN LOUDERBACK - (MANAGING PARTNER)
Entity Organization
Organization subpart No
Enumeration date 07/23/2006
Last updated 07/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: RIF83
  • MO Medicaid: 202805958
  • MO Medicaid: 501465009

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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