Organization
BLS,INC
Active
Other names
THE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA L SCOWLEY (OFFICE MANAGER)
(816) 776-2201
Entity
Organization
Contact information
Practice address
902 WOLLARD BLVD, RICHMOND, MO 64085-2229
(816) 776-2201
(816) 776-7678
Mailing address
902 WOLLARD BLVD, RICHMOND, MO 64085-2229
(816) 776-2201
(816) 776-7678
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
R2F86
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11729013
BCBS OF KC
MO
01
—
504636507
STATE OF MO HEALTHNET
MO
01
—
594636508
MEDICAID RURAL HEALTH
MO
Enumeration date
05/10/2007
Last updated
12/17/2012
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