Basic Information
| Provider Information | |||||||||
| NPI: | 1861959405 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HIGH POINT MEDICAL CLINIC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 881 OLD ROUTE 66 # 3C | ||||||||
| Address2: | |||||||||
| City: | SAINT ROBERT | ||||||||
| State: | MO | ||||||||
| PostalCode: | 655843732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5733363644 | ||||||||
| FaxNumber: | 8888318225 | ||||||||
| Practice Location | |||||||||
| Address1: | 881 OLD ROUTE 66 # 3C | ||||||||
| Address2: | |||||||||
| City: | SAINT ROBERT | ||||||||
| State: | MO | ||||||||
| PostalCode: | 655843732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5733363644 | ||||||||
| FaxNumber: | 8888318225 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2019 | ||||||||
| LastUpdateDate: | 03/23/2021 | ||||||||
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| AuthorizedOfficialLastName: | MORGAN | ||||||||
| AuthorizedOfficialFirstName: | LINDA | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 5733363644 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 03/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.