THEODOSIA MEDICAL CENTER – NPI #1679571590
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

THEODOSIA MEDICAL CENTER is a provider located in THEODOSIA, MO. NPPES has assigned the NPI number 1679571590 to THEODOSIA MEDICAL CENTER on July 13, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jul 21, 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 THEODOSIA MEDICAL CENTER below.

NPI Profile for
THEODOSIA MEDICAL CENTER

NPI Number
1679571590
Enumeration Date

(about 21 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
THEODOSIA MEDICAL CENTER
Primary location
US HIGHWAY 160
#1
THEODOSIA, MO 65761
Phone: (417) 273-4449 Fax: (417) 273-4489
Mailing address
516 IOWA COLONY RD
HOLLISTER, MO 65672-5270
Phone: (417) 239-0079 Fax: (417) 239-1228
Organization Subpart
No
Authorized Official
MARIAN STEWART
PHYSICIAN OWNER
Phone: (417) 273-4449
Updated
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
207Q00000X
- Family Medicine (Primary)
MO

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.