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Contact Information

KNEIBERT CLINIC LLC
686 LESTER ST
POPLAR BLUFF, MO63901
 Phone: 573-686-2411
 Fax: 573-686-8452
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for KNEIBERT CLINIC LLC

NPI # 1174501662
LBN Legal business name KNEIBERT CLINIC LLC
Authorized official ROBERT CHRISTIAN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2006
Last updated 10/24/2008 - About 18 years ago
Identifiers
AR Medicaid 149951729
MO Medicaid 595929605
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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