Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renova Medical Center, LLC

Organization General Practice Physician · NPI 1447741681

Renova Medical Center, LLC is a General Practice Physician in Columbia, Missouri. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1401 Forum Blvd Ste 101
Columbia, MO 65203-1915
Phone: (573) 228-0217
Fax: (573) 234-1368
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1447741681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerrie Rose — Owner · (573) 228-0217
NPI enumeratedMay 23, 2018
Last updated in NPPESMay 23, 2018
Mailing address1401 Forum Blvd Ste 101, Columbia, MO 65203-1915

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