Network Healthcare Missouri

LBN: Nutritional Support Services
Network Healthcare Missouri is an health care organization with primary practice located at 1329 Horan Dr , Fenton MO 63026-1939. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Nutritional Support Services can be contacted via phone (636) 779-2700, or through Leeman, Terry via phone (615) 890-2020.

Contact Information

Primary practice address
1329 Horan Dr Fenton MO 63026-1939
Phone: (636) 779-2700
Fax: (636) 779-2704
Website:
Map and Directions
Authorized official contact:
Name: Leeman, Terry
Phone: (615) 890-2020

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X 2004034239 Missouri

Profile Details

NPI number 1679594626
LBN Legal business name Nutritional Support Services
DBA Doing business as Network Healthcare Missouri
Authorized official Leeman, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Jan 28th, 2020 - about 5 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 1679594626 NPPES
Missouri MEDICAID 606172203
Missouri Other 2049057

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