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GOODMAN MEDICAL CENTER PC
NPI 1104028489
Family Medicine in Rolla, MO

Active since May 31, 2007
715 STATE ROUTE CC, ROLLA, MO 65401(573) 308-5044(573) 341-5300 Get Directions Write a Review

NPPES record last updated: December 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Goodman Medical Center Pc NPPES

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

GOODMAN MEDICAL CENTER PC (NPI 1104028489) is a healthcare organization registered as a family medicine in Rolla, Missouri and active in the NPI registry since May 2007. The organization lists Karene Marie Goodman, Coowner, as its authorized official.

NPPES Registry Identity

NPI1104028489
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGOODMAN MEDICAL CENTER PC
Location Address715 STATE ROUTE CCRolla, MO 65401-4402
Mailing AddressPo Box 918Rolla, MO 65402-0918 · (573) 308-5044 · Fax (573) 341-5300
Phone(573) 308-5044
Fax(573) 341-5300
Organization SubpartNo
Authorized OfficialKarene Marie GoodmanCoowner · (573) 308-5044
Enumeration DateMay 31, 2007
Last NPPES UpdateDecember 30, 2010
✔ NPI 1104028489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
715 STATE ROUTE CC, Rolla, MO 65401
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Other Identifiers 3

OtherDG5099MO · Railroad Medicare
Medicare ID-Type Unspecified990001376MO · Group Number
Medicaid500447206MO

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

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 Goodman Medical Center PC's NPI number?

The NPI number for Goodman Medical Center PC is 1104028489. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Goodman Medical Center PC located?

Goodman Medical Center PC is located at 715 State Route Cc, Rolla, MO 65401. The listed phone number is (573) 308-5044.

What is Goodman Medical Center PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Goodman Medical Center PC was last updated on December 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.