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Organization

GO- MEDICAL SERVICES LLC

Active
Other names
Go Medical
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL STANLEY FELICIANO (PRESIDENT/MANAGING PARTNER)
(816) 358-8200
Entity
Organization

Contact information

Practice address
10215 E US HIGHWAY 40, STE D, INDEPENDENCE, MO 64055-6147
(816) 358-8200
(816) 817-0028
Mailing address
P O BOX 1923, INDEPENDENCE, MO 64055-0923
(816) 358-8200
(816) 817-0028

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00675817
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200362040A
KS
01
35991012
BCBS OF KANSAS CITY
MO
05
626221907
MO
Enumeration date
06/04/2006
Last updated
02/24/2011
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