1760150817 NPI number — HCC NETWORK

Table of content: (NPI 1760150817)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760150817 NPI number — HCC NETWORK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HCC NETWORK
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760150817
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
825 S BUSINESS HIGHWAY 13
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64067-1515
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
660-259-2440
Provider Business Mailing Address Fax Number:
660-251-0524

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17611 E US HIGHWAY 24
Provider Second Line Business Practice Location Address:
STE HCC
Provider Business Practice Location Address City Name:
INDEPENDENCE
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64056-1853
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-344-3572
Provider Business Practice Location Address Fax Number:
866-228-4492
Provider Enumeration Date:
09/02/2021

Additional Information

Authorized Official

Authorized Official Last Name:
RICHARD
Authorized Official First Name:
TONIANN
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
816-807-7774

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com