WALMART HEALTH – NPI #1073390696
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

WALMART HEALTH is a provider located in GLADSTONE, MO. NPPES has assigned the NPI number 1073390696 to WALMART HEALTH on September 08, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WALMART HEALTH” is a dba name, the actual legal business name for this organization is MC MEDICAL LLC. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 2 years ago on Dec 20, 2023. 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 WALMART HEALTH below.

NPI Profile for
MC MEDICAL LLC

NPI Number
1073390696
Enumeration Date

(about 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
MC MEDICAL LLC
Doing Business As (dba): WALMART HEALTH
Primary location
7209 N PROSPECT AVENUE
GLADSTONE, MO 64119
Phone: (479) 258-2080 Fax:
3 Other location(s):
11601 E US Highway 40 Ste 100
Kansas City, MO 64133-1908
Phone: (479) 258-2080
1701 W 133rd St Ste 100
Kansas City, MO 64145-1631
Phone: (816) 447-3968
10302 E Highway 350
Raytown, MO 64138
Phone: (479) 258-2080
Mailing address
702 SW 8TH ST # MS 0445
BENTONVILLE, AR 72716-6209
Phone: (479) 258-2080 Fax:
Organization Subpart
No
Authorized Official
RICHARD HENRY
ENROLLMENT MANAGER
Phone: (479) 258-2080
Updated
Certification Date
Dec 18, 2023

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.

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.