Enrique De la Piedra
Individual provider Active NPI Skilled Nursing Facility · Linn, MO
NPI 1306258561 · NPPES record last updated May 22, 2014
Key facts
- NPI
- 1306258561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 042107 (MO)
- Practice address
- 196 Hwy 196
Linn, MO 65051-3500 - Phone
- (573) 897-0700
- Fax
- (573) 897-0400
- NPI assigned
- May 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042107 | MO | MD | Skilled Nursing Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 042107 | MO | Yes |
Addresses
Primary practice location
196 Hwy 196
Linn, MO 65051-3500
Mailing address
196 Hwy 196
Linn, MO 65051-3500
Phone (573) 897-0700
Other providers in Linn, MO
- Michelle R Barg
- Capital Region Medical Center
- Samantha Casteel
- Community Health Ctr of Central Missouri
- Core Family Dentistry LLC
- Eden Heritage Foundation
- Elliott Chiropractic Health Clinic
- Shawn Kevin Elliott
- General Baptist Nursing Home of Linn
- Marcia Heberle
All providers in Linn, 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 May 22, 2014. 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.