Organization
NEVADA CITY HOSPITAL
Active
Parent organization
NEVADA CITY HOSPITAL
Other names
Nevada Regional Medical Center Professional Practice Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA CITY HOSPITAL
Authorized official
JASON ANGLIN (CEO/AUTHORIZED OFFICIAL)
(417) 448-3626
Entity
Organization
Contact information
Practice address
800 S. ASH STREET, SUITE 220, NEVADA, MO 64772-3224
(417) 448-3644
(417) 448-3604
Mailing address
800 S. ASH STREET, NEVADA, MO 64772-3224
(417) 667-3355
(417) 448-3796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
190-57
MO
Other
Enumeration date
02/04/2010
Last updated
12/19/2022
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