Organization
PINNACLE REGIONAL HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SKANES (CREDENTIALING CONTACT)
(660) 882-7461
Entity
Organization
Contact information
Practice address
17651 B HWY, BOONVILLE, MO 65233-2839
(660) 882-7461
(660) 882-6093
Mailing address
4770 N BELLEVIEW AVE STE 205, KANSAS CITY, MO 64116-2119
(816) 809-8365
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
248-47
MO
207Q00000X
Family Medicine Physician
248-47
MO
207RR0500X
Rheumatology Physician
248-47
MO
Other
Enumeration date
07/17/2018
Last updated
03/12/2019
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