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Contact Information

QUAIL CREEK SKILLED NURSING, LLC
1514 WEST LARK
SPRINGFIELD, MO65810
 Phone: 417-889-1275
 Fax: 417-881-0657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

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

NPI Profile & details for QUAIL CREEK SKILLED NURSING, LLC

NPI Number 1669433629
LBN Legal business name QUAIL CREEK SKILLED NURSING, LLC
Authorized official JAMES REIKER - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/30/2006
Last updated 02/01/2013 - About 13 years ago
Identifiers
MO License # 032174
MO Medicaid 102679008
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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