Organization
FC OF MISSOURI INC
Active
Other names
Intrepid USA Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL D FOSTER (CEO)
(214) 445-3750
Entity
Organization
Contact information
Practice address
4305 S. NATIONAL AVE, SPRINGFIELD, MO 65810-2607
(417) 883-5118
(417) 883-7436
Mailing address
4055 VALLEY VIEW LN, 5TH FLOOR, DALLAS, TX 75244-5074
(214) 445-3750
(214) 445-3902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
943539809
MO
163W00000X
Registered Nurse
HHA7502
MO
251E00000X
Home Health Agency
Primary
750-7HH
MO
251E00000X
Home Health Agency
HHA7502
MO
3747P1801X
Personal Care Attendant
263539801
MO
374U00000X
Home Health Aide
0002286
MO
376J00000X
Homemaker
283539807
MO
376J00000X
Homemaker
HHA7502
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283539807
—
MO
05
—
581962909
—
MO
05
—
943539809
—
MO
Enumeration date
11/18/2005
Last updated
04/19/2016
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