Active NPI
Essential Benefit Offerings, LLC
- Primary Care Clinic/Center
- Cape Girardeau, MO
National Provider Identifier
1174145668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- ESSENTIAL BENEFIT OFFERINGS, LLC
- Practice address
- 1417 N Mount Auburn Rd Ste A2
Cape Girardeau, MO 63701-2171 - Phone
- (573) 803-2941
- Fax
- (573) 803-4112
- NPI assigned
- May 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Genni Ourth
- Title
- Operations Manager
- Phone
- (573) 803-2941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1417 N Mount Auburn Rd Ste A2
Cape Girardeau, MO 63701-2171
Mailing address
1417 N Mount Auburn Rd Ste A2
Cape Girardeau, MO 63701-2171
Phone (573) 803-2941
National Provider Directory
National Provider DirectoryLocations
1417 N Mount Auburn Rd
Ste A2
Cape Girardeau, MO 63701
Phone (573) 803-2941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588809600000",
"number": "1174145668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 N MOUNT AUBURN RD STE A2",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012171",
"telephone_number": "573-803-2941",
"fax_number": "573-803-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 N MOUNT AUBURN RD STE A2",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637012171",
"telephone_number": "573-803-2941",
"fax_number": "573-803-4112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENTIAL BENEFIT OFFERINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-07",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A",
"authorized_official_last_name": "OURTH",
"authorized_official_first_name": "GENNI",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "573-803-2941"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.