Organization
COLUMBIA SKILLED NURSING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID T JAMES III MD (PARTNER, OWNER)
(573) 819-8205
Entity
Organization
Contact information
Practice address
3535 BERRYWOOD DR, COLUMBIA, MO 65201-6584
(573) 819-8205
Mailing address
PO BOX 30860, COLUMBIA, MO 65205-3860
(573) 819-8205
(636) 333-4510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500159752
—
MO
Enumeration date
05/21/2025
Last updated
09/29/2025
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