Basic Information
| Provider Information | |||||||||
| NPI: | 1982773677 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACUTE CARE BILLING MO, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1609 N ANKENY BLVD | ||||||||
| Address2: | STE #200 | ||||||||
| City: | ANKENY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 500234165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5159642772 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1800 E MECHANIC ST | ||||||||
| Address2: | |||||||||
| City: | HARRISONVILLE | ||||||||
| State: | MO | ||||||||
| PostalCode: | 647012017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8163803474 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | DAVIES | ||||||||
| AuthorizedOfficialFirstName: | CHRISTIAN | ||||||||
| AuthorizedOfficialMiddleName: | P | ||||||||
| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT, CFO | ||||||||
| AuthorizedOfficialTelephone: | 5159642772 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.