NPIMap

Organization Active NPI

Harry S. Truman MVH

  • Radiology Clinic/Center
  • Columbia, MO
National Provider Identifier
1255728226
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
508605
Legal business name
HARRY S. TRUMAN MVH
Practice address
132 Southampton Dr
Columbia, MO 65203-3050
Phone
(419) 822-6931
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Daniel Gracia
Title
Diagnostic Radiology Tech
Phone
(419) 822-6931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 508605 Primary

Addresses

Primary practice location

132 Southampton Dr
Columbia, MO 65203-3050

Mailing address

132 Southampton Dr
Columbia, MO 65203-3050
Phone (419) 822-6931

Other identifiers 1

IdentifierTypeStateIssuer
508605OtherARRT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1255728226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SOUTHAMPTON DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033050",
            "telephone_number": "419-822-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SOUTHAMPTON DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033050",
            "telephone_number": "419-822-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY S. TRUMAN MVH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "GRACIA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIAGNOSTIC RADIOLOGY TECH",
        "authorized_official_telephone_number": "419-822-6931"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": "508605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARRT",
            "identifier": "508605",
            "state": null
        }
    ],
    "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 Apr 17, 2015; 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.