Plastic Surgery Center Of St Joseph, Inc
LBN: Plastic Surgery Center Of St Joseph, Inc
Plastic Surgery Center Of St Joseph, Inc is an health care organization with primary practice located at 2111 N Woodbine Rd , Saint Joseph MO 64506-2440. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Plastic Surgery Center Of St Joseph, Inc can be contacted via phone (816) 364-6416, or through De Priest, Michael D via phone (816) 364-6446.
Contact Information
Primary practice address
2111 N Woodbine Rd
Saint Joseph MO 64506-2440
Phone: (816) 364-6416
Fax: (816) 364-5320
Website:
Authorized official contact:
Name: De Priest, Michael D Doctor of Medicine (MD)
Phone: (816) 364-6446
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 136-0 | Missouri |
Profile Details
| NPI number | 1508862996 |
|---|---|
| LBN Legal business name | Plastic Surgery Center Of St Joseph, Inc |
| DBA Doing business as | |
| Authorized official | De Priest, Michael D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Dec 31st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508862996 | NPPES |
| Missouri | Other | 136-0 | STATE LICENSE NUMBER |
| Missouri | MEDICAID | 509336905 | STATE LICENSE NUMBER |
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