MISSOURI SPINE CARE
NPI 1184731010
Clinic/Center - Multi-Specialty in O Fallon, MO

Active since August 24, 2006
2682 BABBLE CREEK LN, O FALLON, MO 63368(636) 978-3000(636) 978-1821 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Multi-Specialty

About MISSOURI SPINE CARE

This page provides the complete NPI Profile along with additional information for Missouri Spine Care, a provider established in O Fallon, Missouri operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1184731010 assigned on August 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Missouri Spine Care. The authorized official of this NPI record is Dr. Matthew David Goodwin D.c. (Owner)

NPI
1184731010 Verify this NPI
Provider Legal Name
BACK & NECK CARE CENTER, P.C.
Other Organization Name
MISSOURI SPINE CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2682 BABBLE CREEK LN O FALLON, MO 63368
Location Phone
(636) 978-3000
Location Fax
(636) 978-1821
Mailing Address
2682 BABBLE CREEK LN O FALLON, MO 63368
Mailing Phone
(636) 978-3000
Mailing Fax
(636) 978-1821
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-24-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License State
MO

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MATTHEW DAVID GOODWIN D.C.

Authorized Official Title
OWNER
Authorized Official Phone
(636) 978-3000

Reviews for MISSOURI SPINE CARE

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physical Therapist
2682 BABBLE CREEK LN
O FALLON, MO 63368
Chiropractor
2682 BABBLE CREEK LN
O FALLON, MO 63368
Clinic/Center (Multi-Specialty)
2682 BABBLE CREEK LN
O FALLON, MO 63368
Chiropractor
2682 BABBLE CREEK LN
O FALLON, MO 63368

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184731010, enumerated as an "organization" on August 24, 2006.

The provider is located at 2682 BABBLE CREEK LN O FALLON, MO 63368 and the phone number is (636) 978-3000.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.