Organization
KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
Active
Parent organization
KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
Other names
Missouri's Choice Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
Authorized official
LAURIE HOLTSFORD (SR DIRECTOR BUSINESS OFFICE SUPPORT)
(615) 465-7466
Entity
Organization
Contact information
Practice address
2412A S FRANKLIN ST, KIRKSVILLE, MO 63501-4616
(660) 627-2787
(660) 627-7492
Mailing address
2412A S FRANKLIN ST, KIRKSVILLE, MO 63501-4616
(660) 627-2787
(660) 627-7492
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
704-9HH
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2899261
AETNA HMO
MO
01
—
320584
HEALTHLINK
MO
01
—
5483002
AETNA PPO
MO
05
—
580420602
—
MO
01
—
68
BLUE CROSS/BLUE SHIELD
MO
Enumeration date
10/18/2005
Last updated
12/20/2016
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