REDINGS MILL INTERNAL CARE


Address: 454 Redings Mill Rd, Joplin, MO 64804
Phone: 4175293273

REDINGS MILL INTERNAL CARE (NPI# 1902361652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902361652
Entity Type Organization
Organization Name REDINGS MILL INTERNAL CARE
Practice Address 454 Redings Mill Rd
Joplin
MO 64804
Mailing Address 454 Redings Mill Rd
Joplin
MO 64804-8921
Practice Telephone 4175293273
Mailing Telephone 4175293273
Enumeration Date 2019-02-06
Last Update Date 2019-02-06
Authorized Official Name MRS. STACIA JEANNINE ELLIOTT (OWNER/FNP)
Authorized Official Telephone 4175293273
Authorized Official Credential NURSE PRACTITION
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 454 REDINGS MILL RD
City JOPLIN
State MO
Zip Code 64804

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1174070205 Tracy L Fry Nurse Practitioner 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 2016-09-07
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447342720 Samuel K. Turner D.o., P.C. Clinic/Center 702 E 34th St, Suite 101, Joplin, MO 64804-3967 2006-09-28

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1639616113 Stratus Medical Group Clinic/Center 2010 N Main St, Sikeston, MO 63801-8478 2017-01-23
1871044735 Susan D Purcell Md Dermatology LLC Clinic/Center 969 N Mason Rd Ste 170, Saint Louis, MO 63141-6387 2016-10-16
1679961577 Ssm Regional Health Services Clinic/Center 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 2014-12-30
1407251069 Missouri Cvs Pharmacy, L.L.C. Clinic/Center 942 Valley Creek Dr, Farmington, MO 63640-1968 2014-10-24
1154730414 Mohammed Z Siddiqui Medical Consulting LLC Clinic/Center 10 Overbrook Dr, Saint Louis, MO 63124-1482 2014-08-11
1962818435 Retired Clinic/Center 13714 N Sportsmans Dr, Hallsville, MO 65255-9330 2014-07-06
1043625460 Kobler Chiropractic and Acupuncture LLC Clinic/Center 500 Nw Englewood Rd, Kansas City, MO 64118-3960 2014-06-24
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Competitor

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City JOPLIN
Zip Code 64804

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Dataset Information

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.

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