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MIDWEST HEALTH GROUP CONVENIENT CARE, LLC

Non-Pharmacy Dispensing Site

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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Contact Information

MIDWEST HEALTH GROUP CONVENIENT CARE, LLC
550 MAPLE VALLEY DR
FARMINGTON, MO  63640-1981
 Phone: 573-454-2466
 Fax: 573-454-2544
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

 332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for MIDWEST HEALTH GROUP CONVENIENT CARE, LLC

NPI # 1982057501
LBN Legal business name MIDWEST HEALTH GROUP CONVENIENT CARE, LLC
Authorized official MARY CHANDLER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2016
Last updated 07/19/2016 - About 10 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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