Organization · Type 2 NPI

Dedicated Missouri Holding, LLC

Non-Pharmacy Dispensing Site · Independence, MO

NPI number 1992451868 Active

Practice location

1010 W US Highway 24
Independence, MO 64050-2337

Call (816) 608-2921 Map

Fax (816) 608-3411

Mailing address

1395 NW 167th St
Miami Gardens, FL 33169-5710

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7 other providers at this address

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NPI record

NPI: 1992451868
Entity type: Organization (Type 2)
Issued: Mar 1, 2022
Last updated: Mar 1, 2022
Status: Active
Subpart: Yes of Dedicated Missouri Holding, LLC

Other names

Dedicated Senior Medical Center Independence · doing business as

Authorized official

Mary Chen
Authorized Official
(305) 628-6117

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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 1992451868

Dedicated Missouri Holding, LLC's National Provider Identifier is 1992451868, issued on Mar 1, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Independence, MO. The record was last updated on Mar 1, 2022.