MACK LEE CAMPBELL (NPI# 1235764234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235764234 |
| Entity Type | Individual |
| Full Name | MACK LEE CAMPBELL |
| Practice Address |
3634 Marble Hill Rd Poplar Bluff MO 63901-2228 |
| Practice Telephone | 5737180971 |
| Mailing Telephone | 5737180971 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
3634 MARBLE HILL RD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244285 | Margo Armstrong | Driver | 12336 Lusher Rd, Saint Louis, MO 63138-1455 | 2020-08-04 |
| 1679100895 | Damon Lamont Newton | Driver | 9508 E 57th St, Raytown, MO 64133-3205 | 2020-03-26 |
| 1053969139 | Shermaine Cierra Church | Driver | 3469 Saint Mark Ln, Saint Ann, MO 63074-2909 | 2019-08-31 |
| 1659928554 | Rundall T Mosley | Driver | 3850 W Edgewood St, Springfield, MO 65807-5584 | 2019-08-25 |
| 1518512565 | Harry George Jr. | Driver | 7891 Nw Roanridge Rd, K, Kansas City, MO 64151-5258 | 2019-08-06 |
| 1437713351 | Philip Joseph Hintz | Driver | 327 Lost Pines, Union, MO 63084-3071 | 2019-04-25 |
| 1013474170 | Tatyana Uglova | Driver | 6508 Ne 44th Ter, Kansas City, MO 64117-1583 | 2019-02-25 |
| 1447735865 | Kevin Dean Krause | Driver | 14 Horizon Dr, Saint Peters, MO 63376-3555 | 2018-10-02 |
| 1629551718 | James Kenneth Hecker | Driver | 4629 S Eastland Center Dr # At1528, Independence, MO 64055-7830 | 2018-09-13 |
| 1053899153 | Nadiyah L Brandon | Driver | 1841 Arrow Point Dr, Saint Louis, MO 63138 | 2018-07-31 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on MACK LEE CAMPBELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.