FUNDAMENTAL HEALTH CENTER
NPI 1831219377
Point of Service in Washington, MO
- Organization
- Point of Service
About FUNDAMENTAL HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Fundamental Health Center, a provider established in Washington, Missouri operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1831219377 assigned on March 2007. The practitioner's primary taxonomy code is 305S00000X with license number 4945 (MO). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Fundamental Health Center. The authorized official of this NPI record is Lawrence P. Tyler D.c. (Owner/provider)
- NPI
- 1831219377 Verify this NPI
- Provider Legal Name
- DR. TYLER, LLC
- Other Organization Name
- FUNDAMENTAL HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 305 N 4TH STREET WASHINGTON, MO 63090
- Location Phone
- (636) 239-2323
- Location Fax
- (636) 239-7168
- Mailing Address
- 305 N 4TH STREET WASHINGTON, MO 63090
- Mailing Phone
- (636) 239-2323
- Mailing Fax
- (636) 239-7168
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-29-2007
- Last Update Date
- 06-01-2010
- Code Navigator
Location Map
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
Point of Service
- Taxonomy Code
- 305S00000X
- Type
- Managed Care Organizations
- License No.
- 4945
- License State
- MO
- Taxonomy Description
- This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831219377, enumerated as an "organization" on March 29, 2007.
The provider is located at 305 N 4TH STREET WASHINGTON, MO 63090 and the phone number is (636) 239-2323.
Point of Service with taxonomy code 305S00000X.
