CEDAR CREEK THERAPEUTIC RIDING CENTER


Address: 4895 E Highway 163, Columbia, MO 65201-9284
Phone: 5738758556

CEDAR CREEK THERAPEUTIC RIDING CENTER (NPI# 1477745677) 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) 1477745677
Entity Type Organization
Organization Name CEDAR CREEK THERAPEUTIC RIDING CENTER
Practice Address 4895 E Highway 163
Columbia
MO 65201-9284
Practice Telephone 5738758556
Mailing Telephone 5738758556
Enumeration Date 2007-08-13
Last Update Date 2007-08-13
Authorized Official Name KAREN ANNE GRINDLER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5738758556
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service OC1064 MO Managed Care Organizations

Office Location

Street Address 4895 E HIGHWAY 163
City COLUMBIA
State MO
Zip Code 65201-9284

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1659815470 Colleen Jockin Specialist 100 Matc, Columbia, MO 65201 2016-12-13
1720535305 Hannah Garrad Dietitian, Registered Columbia 3, 25 Conley Road, Columbia, MO 65201 2016-09-01
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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1497077101 Mid-missouri Clinic of Chiropractic LLC Point of Service 19 East Walnut Street, Suite F, Columbia, MO 65203-4505 2010-02-22
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Competitor

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City COLUMBIA
Zip Code 65201

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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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