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Contact Information

CITY OF ADRIAN - ADRIAN MANOR HEALTH AND REHAB
402 W 1ST ST
ADRIAN, MO64720-9998
 Phone: 816-297-2107
 Fax: 816-297-4321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for CITY OF ADRIAN - ADRIAN MANOR HEALTH AND REHAB

NPI # 1124054366
LBN Legal business name CITY OF ADRIAN - ADRIAN MANOR HEALTH AND REHAB
Authorized official DOUGLAS FREDRICKSON - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2006
Last updated 01/13/2012 - About 8 years ago
Identifiers
MO License # 030454
MO Medicaid 101478907
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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