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Boonville No 1 Inc

NPI 1295767275ActiveOrganization· Skilled Nursing Facility· Boonville, MO

Skilled Nursing Facility in Boonville, Missouri, registered in NPPES in July 2006. The authorized official on file is Donald B. Bedell, President. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1295767275
StatusActive
Entity typeOrganization
NPI issuedJul 7, 2006
Last updated in NPPESJun 19, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X046405MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (MO)

Medicare sources and data years

Other Skilled Nursing Facility providers in Boonville

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