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Organization

ACINUS MEDICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON HOOVER (OWNER)
(816) 229-1811
Entity
Organization

Contact information

Practice address
400 SE BRIZENDINE RD, BLUE SPRINGS, MO 64014-6241
(816) 229-1811
(816) 229-2061
Mailing address
400 SE BRIZENDINE RD, BLUE SPRINGS, MO 64014-6241
(816) 229-1811
(816) 229-2061

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6697
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34992015
BCBS OF KC
MO
Enumeration date
12/23/2005
Last updated
08/22/2020
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