Midwest Wound & Wellness Llc

LBN: Midwest Wound & Wellness Llc
Midwest Wound & Wellness Llc is an health care organization with primary practice located at 555 W Pine St , Farmington MO 63640-1439. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Midwest Wound & Wellness Llc can be contacted via phone (573) 747-1510, or through Roberts, Kelly M via phone (573) 747-1510.

Contact Information

Primary practice address
555 W Pine St Farmington MO 63640-1439
Phone: (573) 747-1510
Fax: (573) 747-1512
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Kelly M Family Nurse Practitioner (FNP)
Phone: (573) 747-1510

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1215467733
LBN Legal business name Midwest Wound & Wellness Llc
DBA Doing business as
Authorized official Roberts, Kelly M Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2017
Last updated Jul 21st, 2022 - about 3 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 1215467733 NPPES
Missouri MEDICAID 1568912129

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