<Unavail>

LBN: Tim Mitchell Medical, Inc
<Unavail> is an health care organization with primary practice located at 719 S Neosho Blvd Ste A, Neosho MO 64850. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Tim Mitchell Medical, Inc can be contacted via phone (417) 451-9501, or through Mitchell, Tim via phone (417) 451-9501.

Contact Information

Primary practice address
719 S Neosho Blvd Ste A Neosho MO 64850
Phone: (417) 451-9501
Fax: (417) 451-9594
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Tim R.PH.
Phone: (417) 451-9501

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2003027740 Missouri

Profile Details

NPI number 1578669701
LBN Legal business name Tim Mitchell Medical, Inc
DBA Doing business as <Unavail>
Authorized official Mitchell, Tim R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated May 1st, 2025 - about last year

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 1578669701 NPPES
Missouri MEDICAID 622932309
Missouri MEDICAID 200286710A
Missouri MEDICAID 200642940A
Missouri MEDICAID 602932303

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