Provider Demographics
NPI:1982474367
Name:MIDMOCHIRO L.L.C.
Entity type:Organization
Organization Name:MIDMOCHIRO L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ZIELINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:573-657-2500
Mailing Address - Street 1:101 REDTAIL DR STE A
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65010-1140
Mailing Address - Country:US
Mailing Address - Phone:573-657-2500
Mailing Address - Fax:573-657-2502
Practice Address - Street 1:101 REDTAIL DR STE A
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:MO
Practice Address - Zip Code:65010-1140
Practice Address - Country:US
Practice Address - Phone:573-657-2500
Practice Address - Fax:573-657-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health