DANCING HORIZON HEALTH LC


Address: 2400 Boonslick Drive, Boonville, MO 65233
Phone: 6608829840

DANCING HORIZON HEALTH LC (NPI# 1346308749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346308749
Entity Type Organization
Organization Name DANCING HORIZON HEALTH LC
Practice Address 2400 Boonslick Drive
Boonville
MO 65233
Mailing Address Po Box 5111
Springfield
MO 65801
Practice Telephone 6608829840
Practice Fax Number 6608823504
Mailing Telephone 4174292185
Mailing Fax Number 4178329799
Enumeration Date 2006-12-05
Last Update Date 2007-10-22
Authorized Official Name KEVIN W LOUDERBACK (MANAGER)
Authorized Official Telephone 4174292181
Authorized Official Credential HHP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
R1F83 MO Ambulatory Health Care Facilities

Office Location

Street Address 2400 BOONSLICK DRIVE
City BOONVILLE
State MO
Zip Code 65233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538181409 Dancing Horizon Health Foundation, Inc. Family Medicine 2400 Boonslick Drive, Boonville, MO 65233 2006-07-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750788022 Aneisa Lynn Sherrill-mattox Social Worker 413 E Spring Street, Boonville, MO 65233 2014-12-02
1427216555 Boonville Residential LLC Assisted Living Facility 600 Rankin Mill Lane, Boonville, MO 65233 2008-05-27
1851593479 Cooper County Ambulance District Ambulance 17651 B Highway, Boonville, MO 65233 2007-06-05
1588697965 Dialysis Clinic Inc. Clinic/Center 600 Rankin Mill Ln, Boonville, MO 65233 2006-07-08
1295767275 Boonville No 1 Inc Skilled Nursing Facility 1450 W Ashley Rd, Boonville, MO 65233 2006-07-07
1730178864 Pinnacle Regional Hospital, LLC General Acute Care Hospital 17651 B Hwy, Boonville, MO 65233 2005-10-20
1710477187 Ashlyn Elizabeth Sappington Dental Hygienist 1115 Main St, Boonville, MO 65233 2018-05-11
1083825988 Harold K Hombs Dentist 1115 Main, Boonville, MO 65233 2007-05-24
1548480601 Pinnacle Regional Hospital, LLC Medicare Defined Swing Bed Unit 17651 B Hwy, Boonville, MO 65233 2007-04-30
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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1639616113 Stratus Medical Group Clinic/Center 2010 N Main St, Sikeston, MO 63801-8478 2017-01-23
1871044735 Susan D Purcell Md Dermatology LLC Clinic/Center 969 N Mason Rd Ste 170, Saint Louis, MO 63141-6387 2016-10-16
1679961577 Ssm Regional Health Services Clinic/Center 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 2014-12-30
1407251069 Missouri Cvs Pharmacy, L.L.C. Clinic/Center 942 Valley Creek Dr, Farmington, MO 63640-1968 2014-10-24
1154730414 Mohammed Z Siddiqui Medical Consulting LLC Clinic/Center 10 Overbrook Dr, Saint Louis, MO 63124-1482 2014-08-11
1962818435 Retired Clinic/Center 13714 N Sportsmans Dr, Hallsville, MO 65255-9330 2014-07-06
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Competitor

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City BOONVILLE
Zip Code 65233

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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