Organization
BOONE PHYSICIAN SERVICES, LLC
Active
Parent organization
BOONE HOSPITAL CENTER
Other names
CHAS Cardiology Services, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOONE HOSPITAL CENTER
Authorized official
MR. BRIAN LEE WINN (DIRECTOR OF FINANCE)
(573) 815-3269
Entity
Organization
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-6245
(573) 815-8556
Mailing address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-6245
(573) 815-8556
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DU1604
RAILROAD MEDICARE
MO
Enumeration date
05/19/2014
Last updated
03/15/2021
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