DEXTER HOSPITAL LLC; NPI #1710056213

Contact Information

DEXTER HOSPITAL LLC

1525 W BUSINESS HWY 60
DEXTER, MO 63841

Phone: 573-624-8447
Fax: 573-624-4312
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family Medicine	207Q00000X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for DEXTER HOSPITAL LLC

NPI Number 1710056213

LBN Legal business name DEXTER HOSPITAL LLC

Authorized official SUE WILLIAMS - (CLINIC ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/07/2006

Last updated 09/11/2008 - About 18 years ago

Identifiers

MO	Medicaid	504910001
MO	Other	DC5219	MEDICARE RAILROAD

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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