# IHC OF MID MISSOURI, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim HealthCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619410198
- **Authorized official:** GARY BODONY (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (573) 458-5990

## Contact information

- **Practice address:** 303 N STADIUM BLVD, 2ND FLOOR, COLUMBIA, MO 65203-1493
- **Practice address phone:** (573) 458-5330
- **Practice address fax:** (877) 240-6523
- **Mailing address:** 13725 METCALF AVE, SUITE 411, OVERLAND PARK, KS 66223-7899
- **Mailing address phone:** (210) 213-0248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2016
- **Last updated:** 12/01/2016