MANSFIELD CLINIC, INC.; NPI #1285687509

Contact Information

MANSFIELD CLINIC, INC.

120 SW 2ND AVENUE
AVA, MO 65608

Phone: 417-683-6790
Fax: 417-683-6770
Website:

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

Indicates primary specialty

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NPI Profile & details for MANSFIELD CLINIC, INC.

NPI Number 1285687509

LBN Legal business name MANSFIELD CLINIC, INC.

Authorized official KENNETH DUGAN - (VICE PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/18/2006

Last updated 04/21/2011 - About 15 years ago

Identifiers

Medicaid

508809506

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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MANSFIELD CLINIC, INC.

Contact Information

Specialty

Rural Health

NPI Profile & details for MANSFIELD CLINIC, INC.

Reviews for MANSFIELD CLINIC, INC.