Frontier Integrated Health Center Inc in O Fallon - Family Medicine
Frontier Integrated Health Center Inc - NPI 1114120649
Frontier Integrated Health Center Inc is a Family Medicine in O Fallon, Missouri. Frontier Integrated Health Center Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Frontier Integrated Health Center Inc is 1114120649. The last update date is 2022-02-24.
Frontier Integrated Health Center Inc's current location address is 199 Frontier Park Dr, O Fallon, Missouri. You can contact this provider via phone number 6363795934 and fax number 6364103323. The mailing address for Frontier Integrated Health Center Inc is 199 Frontier Park Dr, O Fallon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Frontier Integrated Health Center Inc |
|---|---|
| Address | 199 Frontier Park Dr, O Fallon, Missouri |
| Phone Number | 6363795934 |
| Fax Number | 6364103323 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ottomeyer James Raymond |
| Credentials | DC |
| Telephone Number | 6363795934 |
NPI Number Detail
| NPI Number | 1114120649 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2022-02-24 |
Provider Mailing Address Detail
| Address | 199 Frontier Park Dr |
|---|---|
| City | O Fallon |
| State | Missouri (MO) |
| Post Code | 633663963 |
| Phone Number | 6363795934 |
| Fax Number | 6364103323 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 160876 | MO | BLUECROSS | |
| 2576722 | MO | UNITED HEALTHCARE | |
| 375245 | MO | HEALTHLINK |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Frontier Integrated Health Center Inc by the Centers for Medicare & Medicaid Services?
The Frontier Integrated Health Center Inc has been issued the NPI (National Provider Identifier) 1114120649 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Frontier Integrated Health Center Inc is physically located?
The Frontier Integrated Health Center Inc is situated at the following address: 199 Frontier Park Dr, O Fallon, MO 633663963.
What is the Frontier Integrated Health Center Inc's specialty and taxonomy code?
The Frontier Integrated Health Center Inc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Frontier Integrated Health Center Inc receive the assignment of its 1114120649 from the Centers for Medicare & Medicaid Services?
The Frontier Integrated Health Center Inc was issued its 1114120649 by the Centers for Medicare & Medicaid Services on 2007-06-11.
When was the Frontier Integrated Health Center Inc's information last updated?
The Frontier Integrated Health Center Inc's information was last updated on 2022-02-24.