| Health-1 Llc | |
|
1000 W Nifong Blvd Ste 120 Columbia MO 65203-5615 | |
| (573) 444-6331 | |
| (855) 576-4137 |
| Full Name | Health-1 Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 W Nifong Blvd Ste 120, Columbia, Missouri |
| Authorized Official Name and Position | John Fernando (OWNER) |
| Authorized Official Contact | 5733552429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health-1 Llc 1000 W Nifong Blvd Ste 120 Columbia MO 65203-5615 Ph: (573) 444-6331 | Health-1 Llc 1000 W Nifong Blvd Ste 120 Columbia MO 65203-5615 Ph: (573) 444-6331 |
| NPI Number | 1396591202 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 12/03/2024 |
| Medicare PECOS PAC ID | 6204372022 |
|---|---|
| Medicare Enrollment ID | O20240729001131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396591202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | John A Fernando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487049250 PECOS PAC ID: 2567764723 Enrollment ID: I20180815001968 |
| Provider Name | Arooj Mohsin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821521386 PECOS PAC ID: 8527331297 Enrollment ID: I20201012000656 |
| Provider Name | Ayaaz Anees Habibullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063932002 PECOS PAC ID: 5092081240 Enrollment ID: I20201014003836 |
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