NPIMap

Organization Active NPI

To Your Health Medical Clinic, Inc

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1124263900
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2000161132 Issued in MO
Legal business name
TO YOUR HEALTH MEDICAL CLINIC, INC
Practice address
2614 Forum Boulevard
Suite 100
Columbia, MO 65203
Phone
(573) 445-3430
Fax
(573) 445-3460
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Abdoulaye Bah
Title
Director of Operations
Phone
(573) 445-3430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2000161132 MO Primary

Addresses

Primary practice location

2614 Forum Boulevard
Suite 100
Columbia, MO 65203

Mailing address

2614 Forum Boulevard
Suite 100
Columbia, MO 65203
Phone (573) 445-3430

National Provider Directory

National Provider Directory

Locations

2614 Forum Blvd
#100
Columbia, MO 65203
Phone (573) 445-3430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1124263900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 FORUM BOULEVARD",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-445-3430",
            "fax_number": "573-445-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 FORUM BOULEVARD",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-445-3430",
            "fax_number": "573-445-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO YOUR HEALTH MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "ABDOULAYE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "573-445-3430",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2000161132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.