Audrain Health Care, Inc.
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Mexico, MO
NPI 1124037130 · NPPES record last updated Nov 7, 2007
Key facts
- NPI
- 1124037130
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- AUDRAIN HEALTH CARE, INC.
- Practice address
- 620 E Monroe St
Mexico, MO 65265-2919 - Phone
- (573) 581-8127
- Fax
- (573) 582-7053
- NPI assigned
- Aug 7, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- AUDRAIN HEALTH CARE, INC.
Authorized official
- Name
- David A. Neuendorf
- Title
- President/Ceo
- Phone
- (573) 582-8108
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Rusty Spieler MD
- Part of
- Rusty Spieler MD
Locations
366 Country Meadow Ln
Fulton, MO 65251
Phone (573) 642-7216
605 E Promenade St
Ste A
Mexico, MO 65265
Phone (573) 582-4104
221 N Main St
Paris, MO 65275
Phone (660) 327-4000
1015 Corporate Square Dr
Ste 185
Saint Louis, MO 63132
722 N State Highway 47
#B
Warrenton, MO 63383
Phone (636) 456-3413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | Yes |
Addresses
Primary practice location
620 E Monroe St
Mexico, MO 65265-2919
Mailing address
P.O. Box 478
Mexico, MO 65265
Phone (573) 581-8127
Other names
- Senior Adult Care Services
NPI Registry JSON
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194393600000",
"number": "1124037130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 478",
"city": "MEXICO",
"state": "MO",
"postal_code": "65265",
"telephone_number": "573-581-8127",
"fax_number": "573-582-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 E MONROE ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652652919",
"telephone_number": "573-581-8127",
"fax_number": "573-582-7053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDRAIN HEALTH CARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AUDRAIN HEALTH CARE, INC.",
"enumeration_date": "2006-08-07",
"last_updated": "2007-11-07",
"status": "A",
"authorized_official_last_name": "NEUENDORF",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "573-582-8108"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Senior Adult Care Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Audrain Health Care, Inc
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All providers in Mexico, MO · Geriatric Medicine (Internal Medicine) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.