MOUNTAIN GROVE MEDICAL AND LASER CENTER INC
NPI 1053760769
General Practice in Mountain Grove, MO

Q: What is Mountain Grove Medical And Laser Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 03, 2016

601 N BUSCH AVE, MOUNTAIN GROVE, MO 65711(417) 926-6643(417) 926-6317 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2018, Nov 3, 2016 (2 updates tracked since 2016).

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About Mountain Grove Medical And Laser Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN GROVE MEDICAL AND LASER CENTER INC (NPI 1053760769) is a healthcare organization registered as a general practice in Mountain Grove, Missouri and active in the NPI registry since June 2016. The organization lists Doyle B Hill, Owner, as its authorized official.

NPPES Registry Identity

NPI1053760769

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameMOUNTAIN GROVE MEDICAL AND LASER CENTER INC

Location Address601 N BUSCH AVEMountain Grove, MO 65711

Mailing Address1003 Woodside AveEssexville, MI 48732-1234 · (989) 892-7722 · Fax (989) 892-7455

Phone(417) 926-6643

Fax(417) 926-6317

Organization SubpartNo

Authorized OfficialDoyle B HillOwner · (417) 926-6643

Enumeration DateJune 3, 2016

Last NPPES UpdateMay 14, 20182 updates tracked since enumeration

✔ NPI 1053760769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

601 N BUSCH AVE, Mountain Grove, MO 65711

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Other Identifiers 1

Medicaid1053760769MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEENA KAY WHITE FNP-BC

Nurse Practitioner (Family)

601 N BUSCH AVE
MOUNTAIN GROVE, MO 65711

Wright County (417) 967-6426

MOUNTAIN GROVE MEDICAL AND LASER CENTER INC

Clinic/Center (Rural Health)

601 N BUSCH AVE
MOUNTAIN GROVE, MO 65711

Wright County (417) 926-6643

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Grove Medical And Laser Center Inc's NPI number?

The NPI number for Mountain Grove Medical And Laser Center Inc is 1053760769. It was assigned to this organization in the NPPES registry on June 3, 2016.

Where is Mountain Grove Medical And Laser Center Inc located?

Mountain Grove Medical And Laser Center Inc is located at 601 N Busch Ave, Mountain Grove, MO 65711. The listed phone number is (417) 926-6643.

What is Mountain Grove Medical And Laser Center Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mountain Grove Medical And Laser Center Inc was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.