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Midwest Division-lrhc, Llc

Midwest Division-lrhc, Llc is a health care provider in Odessa, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1280 W Us Highway 40, Odessa, MO 64076-9612, US
Practice Location Phone816-633-5774
Practice Location Fax816-633-5936
Legal Business NameMIDWEST DIVISION-LRHC, LLC
Other Organization NameODESSA MEDICAL GROUP
Other Organization Name TypeDoing Business As Name
NPI ?1003872185
Entity TypeOrganization
Enumeration Date ? Apr 26, 2006
Last Update Date ? Mar 10, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Midwest Division-lrhc, Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterRural Health

legacy-id-icon Legacy Provider IDs of Midwest Division-lrhc, Llc

Provider IdIssuer StateIssuer TypeIssuer
595985805MissouriMedicaid
540568508MissouriMedicaid
010568509MissouriMedicaid

official-icon Authorized Official of Midwest Division-lrhc, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Midwest Division-lrhc, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Darrel Box
Authorized Official Title/PositionCEO LRHC
Authorized Official Phone Number660-259-6852