<Unavail>

LBN: Randolph Medical Plus Llc
<Unavail> is an health care organization with primary practice located at 2303 S 22Nd St , Saint Joseph MO 64503-2811. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Randolph Medical Plus Llc can be contacted via phone (816) 364-4357, or through Randolph, Kenton William via phone (816) 364-4357.

Contact Information

Primary practice address
2303 S 22Nd St Saint Joseph MO 64503-2811
Phone: (816) 364-4357
Fax: (816) 364-3165
Website:
Map and Directions
Authorized official contact:
Name: Randolph, Kenton William ATP
Phone: (816) 364-4357

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1205828381
LBN Legal business name Randolph Medical Plus Llc
DBA Doing business as <Unavail>
Authorized official Randolph, Kenton William ATP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2005
Last updated Dec 27th, 2024 - about 2 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 1205828381 NPPES
Missouri MEDICAID 623991205

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