College Skyline Center Llc

LBN: College Skyline Center Llc
College Skyline Center Llc is an health care organization with primary practice located at 1230 N Duquesne Rd , Joplin MO 64801-1509. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. College Skyline Center Llc can be contacted via phone (417) 782-1443, or through Eddington, Tracy via phone (417) 782-1443.

Contact Information

Primary practice address
1230 N Duquesne Rd Joplin MO 64801-1509
Phone: (417) 782-1443
Fax: (417) 782-3240
Website:
Map and Directions
Authorized official contact:
Name: Eddington, Tracy
Phone: (417) 782-1443

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1598764110
LBN Legal business name College Skyline Center Llc
DBA Doing business as
Authorized official Eddington, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated May 4th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598764110 NPPES
Missouri MEDICAID 507593408

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