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Contact Information

IGNITE MEDICAL RESORT INDEPENDENCE LLC
20511 E. TRINITY PL.
BLUE SPRINGS, MO64015
 Phone: 816-622-2900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for IGNITE MEDICAL RESORT INDEPENDENCE LLC

NPI Number 1609492719
LBN Legal business name IGNITE MEDICAL RESORT INDEPENDENCE LLC
Authorized official BARRY CARR - (CHAIRMAN OF THE BOARD)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2020
Last updated 12/15/2020 - About 5 years ago
Identifiers n/a
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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