BOONE PHYSICIAN SERVICES, LLC – NPI #1760893259
Clinic/Center

BOONE PHYSICIAN SERVICES, LLC is an AHC clinic located in COLUMBIA, MO. NPPES has assigned the NPI number 1760893259 to BOONE PHYSICIAN SERVICES, LLC on May 19, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is CHAS CARDIOLOGY SERVICES, LLC. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 5 years ago on Mar 15, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOONE PHYSICIAN SERVICES, LLC below.

NPI Profile for
BOONE PHYSICIAN SERVICES, LLC

NPI Number
1760893259
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOONE PHYSICIAN SERVICES, LLC
Former Legal Business Name: CHAS CARDIOLOGY SERVICES, LLC
Primary location
1600 E BROADWAY
COLUMBIA, MO 65201-5844
Phone: (573) 815-6245 Fax: (573) 815-8556
Mailing address
Same as primary location
Organization Subpart
Yes - BOONE PHYSICIAN SERVICES, LLC is subpart of another organization.
Authorized Official
BRIAN WINN
DIRECTOR OF FINANCE
Phone: (573) 815-3269
Updated
Certification Date
Mar 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BOONE PHYSICIAN SERVICES, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRAILROAD MEDICAREMODU1604
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.