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

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Rusty Spieler MD (5 organizations share this tax ID)
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)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2007.

{
    "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"
        }
    ]
}

Other providers in Mexico, MO

All providers in Mexico, MO · Geriatric Medicine (Internal Medicine) Physician in Missouri

Sources for this page

Verify at the official NPI Registry.