Southwest Mo Foot Clinics

LBN: Southwest Mo Foot Clinics
Southwest Mo Foot Clinics is an health care organization with primary practice located at 2024 S Maiden Ln Ste 201 , Joplin MO 64804-0319. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Southwest Mo Foot Clinics can be contacted via phone (417) 782-7500, or through Richins, Matthew B via phone (417) 782-7500.

Contact Information

Primary practice address
2024 S Maiden Ln Ste 201 Joplin MO 64804-0319
Phone: (417) 782-7500
Fax: (417) 782-7524
Website:
Map and Directions
Authorized official contact:
Name: Richins, Matthew B Doctor of Podiatric Medicine (DPM)
Phone: (417) 782-7500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2006009605 Missouri
Suppliers / Customized Equipment 332BC3200X 2006009605 Missouri
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 2006009605 Missouri

Profile Details

NPI number 1588858997
LBN Legal business name Southwest Mo Foot Clinics
DBA Doing business as
Authorized official Richins, Matthew B Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2007
Last updated Sep 12th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588858997 NPPES
Missouri MEDICAID 626280200
Missouri Other P00408461
Missouri Other DG0016
Missouri Other 212522
Missouri Other 000015173
Missouri Other 114142
Missouri Other 114206
Missouri MEDICAID 301595708
Missouri MEDICAID 20422090B
Missouri MEDICAID 504920901

Popular Providers