NORTHGATE SERVICES OF MISSOURI LLC; NPI #1407886732

Contact Information

NORTHGATE SERVICES OF MISSOURI LLC

961 FAIRFAX PARK
TUSCALOOSA, AL 35406-2805

Phone: 205-345-8858
Fax: 205-345-7991
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nursing Facility Supplies	332BN1400X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for NORTHGATE SERVICES OF MISSOURI LLC

NPI Number 1407886732

LBN Legal business name NORTHGATE SERVICES OF MISSOURI LLC

Authorized official CLAUDE LEE - (VICE PRESIDENT CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/03/2006

Last updated 10/11/2010 - About 16 years ago

Identifiers

AL	License #	630016343
AL	Medicaid	009926990
AR	Medicaid	141656741

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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