Goodman Medical Center Pc in Rolla - Family Medicine
Goodman Medical Center Pc - NPI 1104028489
Goodman Medical Center Pc is a Family Medicine in Rolla, Missouri. Goodman Medical Center Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Goodman Medical Center Pc is 1104028489. The last update date is 2010-12-30.
Goodman Medical Center Pc's current location address is Po Box 918, Rolla, Missouri. You can contact this provider via phone number 5733085044 and fax number 5733415300. The mailing address for Goodman Medical Center Pc is Po Box 918, Rolla, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Goodman Medical Center Pc |
|---|---|
| Address | Po Box 918, Rolla, Missouri |
| Phone Number | 5733085044 |
| Fax Number | 5733415300 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COOWNER |
|---|---|
| Authorized Official Name | Goodman Marie Karene |
| Credentials | NP |
| Telephone Number | 5733085044 |
NPI Number Detail
| NPI Number | 1104028489 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2010-12-30 |
Provider Mailing Address Detail
| Address | Po Box 918 |
|---|---|
| City | Rolla |
| State | Missouri (MO) |
| Post Code | 654020918 |
| Phone Number | 5733085044 |
| Fax Number | 5733415300 |
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 |
|---|---|---|---|
| 500447206 | MO | -- | |
| DG5099 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Goodman Medical Center Pc by the Centers for Medicare & Medicaid Services?
The Goodman Medical Center Pc has been issued the NPI (National Provider Identifier) 1104028489. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Goodman Medical Center Pc is geographically located?
The Goodman Medical Center Pc is physically situated at the following location: Po Box 918, Rolla, MO, 654020918.
What is Goodman Medical Center Pc's area of expertise and its corresponding taxonomy classification?
The Goodman Medical Center Pc's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Goodman Medical Center Pc receive its 1104028489 assignment from the Centers for Medicare & Medicaid Services?
The Goodman Medical Center Pc was assigned its 1104028489 by the Centers for Medicare & Medicaid Services on 2007-05-31.
As of what date were the details related to Goodman Medical Center Pc most recently updated or revised?
The information pertaining to Goodman Medical Center Pc, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-30.
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