DOC IN A BOX LLC; NPI #1891088001

Contact Information

DOC IN A BOX LLC

1000 WEBSTER STREET
SUITE 101
MEXICO, MO 65265

Phone: 573-581-2348
Fax: 573-581-9447
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	261QP2300X
Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for DOC IN A BOX LLC

NPI # 1891088001

LBN Legal business name DOC IN A BOX LLC

Authorized official SCOTT SIMMONS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/20/2011

Last updated 12/07/2015 - About 11 years ago

Identifiers

MO	License #	2009007879
MO	Medicaid	505616706

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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