Organization · Type 2 NPI
Level 4 Medical Professional Corporation
Point of Service · Stockton, MO
NPI number
1861706434
Active
Practice location
913 South St
Stockton, MO 65785-9381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 2003017056 (MO) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1861706434
Level 4 Medical Professional Corporation's National Provider Identifier is 1861706434, issued on Aug 5, 2010. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Stockton, MO. The record was last updated on Jan 29, 2015.