Immediate Healthcare Kings Highway in Cape Girardeau - Non-pharmacy Dispensing Site
Immediate Healthcare Kings Highway - NPI 1639252968
Immediate Healthcare Kings Highway is a Non-pharmacy Dispensing Site in Cape Girardeau, Missouri. Immediate Healthcare Kings Highway practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Immediate Healthcare Kings Highway is 1639252968. The last update date is 2020-08-22.
Immediate Healthcare Kings Highway's current location address is 1702 N Kingshighway St, Cape Girardeau, Missouri. You can contact this provider via phone number 5733392000 and fax number 5733391876. The mailing address for Immediate Healthcare Kings Highway is 1702 N Kingshighway St, Cape Girardeau, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Immediate Healthcare Kings Highway |
|---|---|
| Address | 1702 N Kingshighway St, Cape Girardeau, Missouri |
| Phone Number | 5733392000 |
| Fax Number | 5733391876 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGED CA |
|---|---|
| Authorized Official Name | Shackelford Direndia |
| Telephone Number | 8006540889 |
NPI Number Detail
| NPI Number | 1639252968 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1702 N Kingshighway St |
|---|---|
| City | Cape Girardeau |
| State | Missouri (MO) |
| Post Code | 637012122 |
| Phone Number | 5733392000 |
| Fax Number | 5733391876 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | R2J89 |
|
Definition: 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.) |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2633471 | OTHER ID NUMBER-COMMERCIAL NUM |
Post Comment/ Review Below
What is the unique identification code assigned to Immediate Healthcare Kings Highway by the Centers for Medicare & Medicaid Services?
The Immediate Healthcare Kings Highway has been issued the NPI (National Provider Identifier) 1639252968. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Immediate Healthcare Kings Highway?
The Immediate Healthcare Kings Highway is situated at 1702 N Kingshighway St, in the city of Cape Girardeau, state of MO, with the zip code 637012122.
What is Immediate Healthcare Kings Highway's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Immediate Healthcare Kings Highway is Non-pharmacy Dispensing Site, and the taxonomy classification code that categorizes this area of expertise is 332900000X.
On what date did the Immediate Healthcare Kings Highway receive its 1639252968 assignment from the Centers for Medicare & Medicaid Services?
The Immediate Healthcare Kings Highway was assigned its 1639252968 by the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date were the Immediate Healthcare Kings Highway's details last updated?
The information pertaining to the Immediate Healthcare Kings Highway, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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