CCN: 267168 NPI: 1720060304 Organization

INTREPID USA HEALTHCARE SERVICES

4305 S. NATIONAL AVE
SPRINGFIELD, MO 658102607

Contact Information

Phone 4178835118
Fax 4178837436
Enumeration Date 2005-11-18
Last Updated 2016-04-19

Taxonomies

Code: 163W00000X License State: MO License: HHA7502
Code: 163W00000X License State: MO License: 943539809
Code: 251E00000X License State: MO License: HHA7502
Code: 3747P1801X License State: MO License: 263539801
Code: 374U00000X License State: MO License: 0002286
Code: 376J00000X License State: MO License: HHA7502
Code: 376J00000X License State: MO License: 283539807
Code: 251E00000X (Primary) License State: MO License: 750-7HH

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

providerType 36

censusDivision 6

providerType 36

censusDivision 6

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.