Organization · Type 2 NPI

Kirksville Missouri Hospital Company LLC

Family Medicine Physician · Kirksville, MO

NPI number 1336491448 Active

Practice location

1607 S Baltimore St
Kirksville, MO 63501-4536

Call (660) 627-3363 Map

Fax (660) 627-3367

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Cardiovascular Disease Physician	207RC0000X	None listed
Critical Care Medicine (Internal Medicine) Physician	207RC0200X	None listed

Family Medicine Physician: 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.

6 other providers at this address

Other family medicine physician providers in Kirksville

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NPI record

NPI: 1336491448
Entity type: Organization (Type 2)
Issued: Oct 12, 2012
Last updated: Dec 4, 2012
Status: Active
Subpart: Yes of Kirksville Missouri Hospital Company LLC

Other names

<unavail>
Northeast Regional Medical Group · doing business as

Authorized official

Brian Peoples
Vice-President
(615) 465-7585

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336491448

Kirksville Missouri Hospital Company LLC's National Provider Identifier is 1336491448, issued on Oct 12, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Kirksville, MO. The record was last updated on Dec 4, 2012.