Organization
SUCCESS HEALTH SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSES TABE AMBILICHU M.D. (MD)
(972) 974-0109
Entity
Organization
Contact information
Practice address
3600 INTERSTATE 70 DR SE STE C, COLUMBIA, MO 65201-6583
(888) 410-5230
Mailing address
PO BOX 716, COLUMBIA, MO 65205-0716
(972) 974-0109
(573) 271-5108
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
09/30/2025
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