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Contact Information

DANCING HORIZON HEALTH FOUNDATION, INC.
2400 BOONSLICK DRIVE
BOONVILLE, MO65233
 Phone: 660-882-9840
 Fax: 660-882-3504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

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

NPI Number 1538181409
LBN Legal business name DANCING HORIZON HEALTH FOUNDATION, INC.
Authorized official KEVIN LOUDERBACK - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2006
Last updated 07/18/2008 - About 18 years ago
Identifiers
MO License # RIF83
MO Medicaid 202805958
MO Medicaid 501465009
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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