JIBBEN MEDICAL – NPI #1710056213
Clinic/Center
JIBBEN MEDICAL is an AHC clinic located in DEXTER, MO. NPPES has assigned the NPI number 1710056213 to JIBBEN MEDICAL on November 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JIBBEN MEDICAL” is a dba name, the actual legal business name for this organization is DEXTER HOSPITAL LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health
The NPI profile was previously updated about 18 years ago on Sep 11, 2008. 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 JIBBEN MEDICAL below.
NPI Profile for
DEXTER HOSPITAL LLC
(more than 19 years ago)
DEXTER, MO 63841 Phone: (573) 624-8447 Fax: (573) 624-4312
DEXTER, MO 63841-0368 Phone: (573) 624-3165 Fax: (573) 624-3157
CLINIC ADMINISTRATOR
Phone: (573) 624-1640
Identifiers for JIBBEN MEDICAL
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE RAILROAD | MO | DC5219 |
| MEDICAID | MO | 504910001 |
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 |
|---|---|---|
| 261QR1300X - Clinic/Center / Rural Health (Primary) |
||
| 207Q00000X - Family Medicine |
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.