N & R of Kimberling City LLC
Organization Active NPI Skilled Nursing Facility · Kimberling City, MO
NPI 1174827166 · NPPES record last updated Jan 5, 2011
Key facts
- NPI
- 1174827166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- N & R OF KIMBERLING CITY LLC
- Practice address
- 276 Fountain LN
Kimberling City, MO 65686-9356 - Phone
- (417) 739-2481
- Fax
- (417) 739-4412
- NPI assigned
- Jan 5, 2011
- Organization subpart
- No
Authorized official
- Name
- James C Lincoln
- Title
- Member
- Phone
- (573) 481-9625
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
276 Fountain LN
Kimberling City, MO 65686-9356
Mailing address
276 Fountain LN
Kimberling City, MO 65686-9356
Phone (417) 739-2481
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102120607 | Medicaid | MO |
Other names
- TABLEROCK HEALTHCARE
Other providers in Kimberling City, MO
- Kimberling Vision Center, Inc
- Douglas Lee Kolb
- Lakes Area Medical Clinic, LLC
- Amelia Drew Langen
- Brian Scott McKinney
- Maddisen Marie Oldham
- Cynthia Bittle Pappenfort
- Renae Jenelle Richardson
- Skaggs Community Hospital Association
- Adam J Smith
All providers in Kimberling City, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2011. 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.