National Provider Identifier Database

DEXTER HOSPITAL LLC
Rural Health


Contact Information

DEXTER HOSPITAL LLC
1525 W BUSINESS HWY 60
DEXTER, MO63841
Phone: 573-624-8447
Fax: 573-624-4312
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for DEXTER HOSPITAL LLC

NPI Number 1710056213
Legal business name
LBN
DEXTER HOSPITAL LLC
Authorized official SUE WILLIAMS - (CLINIC ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/07/2006
Last updated 09/11/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 504910001
  • MO Other: DC5219 MEDICARE RAILROAD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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