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Contact Information

CORIZON HEALTH
3702 W TRUMAN BLVD
SUITE 104
JEFFERSON CITY, MO65109-4970
 Phone: 573-635-5315
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prison Health

261QP2400X
Indicates primary specialty

NPI Profile & details for CORIZON HEALTH

NPI Number 1528441276
LBN Legal business name CORIZON HEALTH
Authorized official RANDY BULLINGTON - (MISSOURI REGIONAL PHYSICIAN RECRUIT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2015
Last updated 06/30/2015 - About 11 years ago
Identifiers
MO License # 2015015777
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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