OrganizationActive
Boone Physician Services LLC
NPI 1376380659 · Rural Health Clinic/Center · Mexico, MO
Provider details
- NPI number
- 1376380659
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jared Long, Administrator(573) 815-6245
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Medical Park Dr
Mexico, MO 65265-3724
Phone: (573) 581-8500
Fax: (573) 581-5397
Street-level locationGet directions
Mailing address
600 Medical Park Dr
Mexico, MO 65265-3724
Other names (DBA / former)
- Doing business as
- Boone Health Primary Care - Medical Park
Registry dates
- Enumerated
- 2024-07-12
- Last updated
- 2024-07-12
- Certified
- 2024-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.