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Contact Information

MOSAIC MEDICAL CENTER - MARYVILLE
2016 S MAIN ST
MARYVILLE, MO64468-2655
 Phone: 660-562-2525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MOSAIC MEDICAL CENTER - MARYVILLE

NPI # 1184189797
LBN Legal business name MOSAIC MEDICAL CENTER - MARYVILLE
Authorized official DWIGHT CARVELL - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2019
Last updated 12/19/2022 - About 3 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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