Organization
NEVADA URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH S ASBERRY NP (OWNER)
(417) 667-9000
Entity
Organization
Contact information
Practice address
111 N ELM ST, NEVADA, MO 64772-2609
(417) 667-9000
(417) 667-9029
Mailing address
PO BOX 307, NEVADA, MO 64772-0307
(417) 667-9000
(417) 667-9029
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
089091
MO
332BC3200X
Customized Equipment (DME)
089091
MO
335E00000X
Prosthetic/Orthotic Supplier
089091
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39299015
BCBS KC
MO
05
—
624034104
—
MO
Enumeration date
10/24/2007
Last updated
10/19/2009
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