Organization
THE MASTECTOMY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE N STRETZ (CO OWNER)
(816) 373-3447
Entity
Organization
Contact information
Practice address
4201 S NOLAND RD, SUITE I, INDEPENDENCE, MO 64055-7313
(816) 373-3447
(816) 373-3447
Mailing address
4201 S NOLAND RD, SUITE I, INDEPENDENCE, MO 64055-7313
(816) 373-3447
(816) 373-3447
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CFM01450
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36532017
BCBS
—
Enumeration date
03/13/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us