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Organization
LHCG CXCI, LLC
Active
Organization
LHCG CXCI, LLC
Active
Other names
Central Missouri Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1001 SOUTHWEST BLVD STE 1, JEFFERSON CITY, MO 65109-2534
(573) 415-0269
(573) 415-0389
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/08/2021
Last updated
12/18/2023
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