MOUNTAIN GROVE MEDICAL AND LASER CENTER INC – NPI #1053760769
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
MOUNTAIN GROVE MEDICAL AND LASER CENTER INC is a provider located in MOUNTAIN GROVE, MO. NPPES has assigned the NPI number 1053760769 to MOUNTAIN GROVE MEDICAL AND LASER CENTER INC on June 03, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 8 years ago on May 14, 2018. 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 MOUNTAIN GROVE MEDICAL AND LASER CENTER INC below.
NPI Profile for
MOUNTAIN GROVE MEDICAL AND LASER CENTER INC
(more than 10 years ago)
MOUNTAIN GROVE, MO 65711 Phone: (417) 926-6643 Fax: (417) 926-6317
ESSEXVILLE, MI 48732-1234 Phone: (989) 892-7722 Fax: (989) 892-7455
OWNER
Phone: (417) 926-6643
Identifiers for MOUNTAIN GROVE MEDICAL AND LASER CENTER INC
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 |
|---|---|---|---|
| MEDICAID | MO | 1053760769 |
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 |
|---|---|---|
| 208D00000X - General Practice (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.