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BOONE PHYSICIAN SERVICES LLC
NPI 1376380659
Clinic/Center - Rural Health in Mexico, MO

Active since July 12, 2024
600 MEDICAL PARK DR, MEXICO, MO 65265(573) 581-8500(573) 581-5397 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boone Physician Services Llc NPPES

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

BOONE PHYSICIAN SERVICES LLC (NPI 1376380659), doing business as Boone Health Primary Care - Medical Park, is a healthcare organization registered as a rural health in Mexico, Missouri and active in the NPI registry since July 2024. The organization lists Jared Long, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376380659
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBOONE PHYSICIAN SERVICES LLC
Location Address600 MEDICAL PARK DRMexico, MO 65265-3724
Mailing Address600 Medical Park DrMexico, MO 65265-3724 · (573) 581-8500 · Fax (573) 581-5397
Phone(573) 581-8500
Fax(573) 581-5397
Organization SubpartNo
Authorized OfficialJared LongAdministrator · (573) 815-6245
Enumeration DateJuly 12, 2024
NPPES CertifiedJuly 12, 2024
✔ NPI 1376380659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
600 MEDICAL PARK DR, Mexico, MO 65265
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Other Names 1

Doing Business AsBoone Health Primary Care - Medical Park

Other Providers at the Same Location NPPES 13

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

MICHAEL LEE QUINLAN M.D.
Internal Medicine
600 MEDICAL PARK DR
MEXICO, MO 65265
Audrain County (573) 581-8500
SHAHID WAHEED M.D.
Internal Medicine (Hematology & Oncology)
600 MEDICAL PARK DR
MEXICO, MO 65265
Audrain County (573) 581-8500
JOSEPH CHERRI D.O.
Family Medicine
600 MEDICAL PARK DR
MEXICO, MO 65265
Audrain County (573) 581-8500
DR. PEGGY WANNER-BARJENBRUCH MD
Internal Medicine
600 MEDICAL PARK DR
MEXICO, MO 65265
Audrain County (573) 581-8500
NORVIN EUGENE THOMAS D.O.
Internal Medicine (Pulmonary Disease)
600 MEDICAL PARK DR
MEXICO, MO 65265
Audrain County (573) 581-8500
MATTHEW PATRICK GRIFFIN M.D.
Internal Medicine
600 MEDICAL PARK DR
MEXICO, MO 65265
Audrain County (573) 581-8500
ANDREA LEIGH FEGER FNP-BC
Nurse Practitioner (Family)
600 MEDICAL PARK DR
MEXICO, MO 65265
Audrain County (573) 581-8500
MEXICO INTERNAL MEDICINE, LLP
Internal Medicine (Pulmonary Disease)
600 MEDICAL PARK DR
MEXICO, MO 65265
Audrain County (573) 581-8500

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 Boone Physician Services LLC's NPI number?

The NPI number for Boone Physician Services LLC is 1376380659. It was assigned to this organization in the NPPES registry on July 12, 2024. The provider is doing business as Boone Health Primary Care - Medical Park.

Where is Boone Physician Services LLC located?

Boone Physician Services LLC is located at 600 Medical Park Dr, Mexico, MO 65265. The listed phone number is (573) 581-8500.

What is Boone Physician Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Boone Physician Services LLC was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.