<Unavail>
LBN: Missouri Medical Providers Llc
<Unavail> is an health care organization with primary practice located at 2215 Broadway St , Cape Girardeau MO 63701-4403. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
Missouri Medical Providers Llc can be contacted via phone (636) 725-1255, or through Malik, Omer via phone (573) 382-3301.
Contact Information
Primary practice address
2215 Broadway St
Cape Girardeau MO 63701-4403
Phone: (636) 725-1255
Fax: (573) 534-3131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Wound Care | 163WW0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1043817323 |
|---|---|
| LBN Legal business name | Missouri Medical Providers Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Malik, Omer |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 8th, 2020 |
| Last updated | Apr 13th, 2026 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043817323 | NPPES |
| Missouri | Other | 1043817323 | NPI |
| Missouri | MEDICAID | 500090302 | NPI |
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