Audrain Physician Services LLC
Organization Active NPI Hospitalist Physician · Mexico, MO
NPI 1457743148 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1457743148
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- AUDRAIN PHYSICIAN SERVICES LLC
- Practice address
- 620 E Monroe St
Mexico, MO 65265-2919 - Phone
- (573) 582-5000
- NPI assigned
- Mar 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Lisha C Falk
- Title
- VP of Contracting
- Phone
- (337) 609-1221
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | MO | Yes | |
| Physician Assistant |
363A00000X | MO | ||
| Nurse Practitioner |
363L00000X | MO |
Addresses
Primary practice location
620 E Monroe St
Mexico, MO 65265-2919
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457743148 | Medicaid | MO |
Other providers in Mexico, MO
- Audrain Health Care, Inc.
- Audrain Health Care, Inc.
- Audrain Health Care, Inc.
- Audrain Healthcare Inc
- Audrain Orthopaedics, PC
- Avant Supported Living LLC
- Barry Kent Bade
- Lauren Barger
- Gerald Francis Bauer
- Nancy Jan Bayer
All providers in Mexico, MO · Hospitalist Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. 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.