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Organization
CORE MEDICAL CENTER CC LLC
Active
Organization
CORE MEDICAL CENTER CC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASTON GOLDSWORTHY FNP-BC (CEO)
(816) 674-2693
Entity
Organization
Contact information
Practice address
1131 W MAIN ST STE C, BLUE SPRINGS, MO 64015-3611
(816) 281-5275
(816) 229-7085
Mailing address
1131 W MAIN ST STE C, BLUE SPRINGS, MO 64015-3611
(816) 281-5275
(816) 229-7085
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
—
—
202C00000X
Independent Medical Examiner Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083X0100X
Occupational Medicine Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
363LX0106X
Occupational Health Nurse Practitioner
—
—
Other
Enumeration date
11/04/2022
Last updated
09/12/2023
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