JIBBEN MEDICAL
NPI 1710056213
Clinic/Center - Rural Health in Dexter, MO

Active since November 07, 2006
1525 W BUSINESS HWY 60, DEXTER, MO 63841(573) 624-8447(573) 624-4312 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jibben Medical NPPES

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

JIBBEN MEDICAL (NPI 1710056213) is a healthcare organization registered as a rural health in Dexter, Missouri and active in the NPI registry since November 2006. The organization lists Sue Ann Williams, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1710056213
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDEXTER HOSPITAL LLC
Location Address1525 W BUSINESS HWY 60Dexter, MO 63841
Mailing AddressPo Box 368Dexter, MO 63841-0368 · (573) 624-3165 · Fax (573) 624-3157
Fax(573) 624-4312
Organization SubpartNo
Authorized OfficialSue Ann WilliamsClinic Administrator · (573) 624-1640
Enumeration DateNovember 7, 2006
Last NPPES UpdateSeptember 11, 2008
NPI 1710056213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
1525 W BUSINESS HWY 60, Dexter, MO 63841

Other Names 1

Doing Business AsJibben Medical

Other Identifiers 4

Medicaid504910001MO
OtherDC5219MO · Medicare Railroad
Medicare ID-Type Unspecified000015159MO
Medicare OSCAR/certification268620MO

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 Dexter Hospital LLC's NPI number?

The NPI number for Dexter Hospital LLC is 1710056213. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Jibben Medical.

Where is Dexter Hospital LLC located?

Dexter Hospital LLC is located at 1525 W Business Hwy 60, Dexter, MO 63841. The listed phone number is (573) 624-8447.

What is Dexter Hospital 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 Dexter Hospital LLC was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.