ELYSIAN MEDICAL CENTER 1 - HOLLISTER LLC – NPI #1417667783
Clinic/Center

ELYSIAN MEDICAL CENTER 1 - HOLLISTER LLC is an AHC clinic located in HOLLISTER, MO. NPPES has assigned the NPI number 1417667783 to ELYSIAN MEDICAL CENTER 1 - HOLLISTER LLC on November 28, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 4 years ago on Dec 06, 2022. 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 ELYSIAN MEDICAL CENTER 1 - HOLLISTER LLC below.

NPI Profile for
ELYSIAN MEDICAL CENTER 1 - HOLLISTER LLC

NPI Number
1417667783
Enumeration Date

(more than 3 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
ELYSIAN MEDICAL CENTER 1 - HOLLISTER LLC
Primary location
590 BIRCH RD STE 1C
HOLLISTER, MO 65672-9607
Phone: (417) 544-1241 Fax: (417) 544-1242
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TALAL ZAHOOR
CEO
Phone: (919) 619-9341
Updated
Certification Date
Dec 06, 2022

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.

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
261QU0200X
- Clinic/Center / Urgent Care (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.