Provider Demographics
NPI:1275721110
Name:HEALTH CONNECTION
Entity Type:Organization
Organization Name:HEALTH CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEAN
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-882-8425
Mailing Address - Street 1:PO BOX 7687
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65205-7687
Mailing Address - Country:US
Mailing Address - Phone:573-882-3757
Mailing Address - Fax:
Practice Address - Street 1:1507 E BROADWAY
Practice Address - Street 2:HILLCREST HALL
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65215-0001
Practice Address - Country:US
Practice Address - Phone:573-882-1718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CURATORS OF THE UNIVERSITY OF MISSOURI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty