Organization
BOONE HOSPITAL CENTER'S VISITING NURSES, INC
Active
Other names
Boone Hospital Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY M MARROW (VICE PRESIDENT & COO)
(573) 815-8000
Entity
Organization
Contact information
Practice address
601 BUSINESS LOOP 70 W, SUITE 280, COLUMBIA, MO 65203-2522
(573) 875-0555
(573) 875-1062
Mailing address
601 BUSINESS LOOP 70 W, SUITE 280, COLUMBIA, MO 65203-2522
(573) 875-0555
(573) 875-1062
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
639-8
MO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110232
HEALTH LINK
—
01
—
149839
BC/BS OF MO - HOSPICE
—
01
—
18735
HEALTHCARE USA
—
05
—
263535304
—
MO
01
—
30088
BC/BS OF MO
—
05
—
580562809
—
MO
01
—
60-00027
UNITED HEALTH CARE
—
05
—
820562809
—
MO
05
—
940562804
—
MO
Enumeration date
07/27/2006
Last updated
03/19/2009
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