COUNTRY CARE FAMILY CLINIC, LLC; NPI #1306313051

Contact Information

COUNTRY CARE FAMILY CLINIC, LLC

3 E CLEVELAND AVE
ELLSINORE, MO 63937

Phone: 573-322-0404
Fax: 573-322-0168
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for COUNTRY CARE FAMILY CLINIC, LLC

NPI #	`1306313051`
LBN Legal business name	COUNTRY CARE FAMILY CLINIC, LLC
Authorized official	LAURA NANCE - (NURSE PRACTITIONER/ OFFICE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/31/2018
Last updated	10/31/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COUNTRY CARE FAMILY CLINIC, LLC

Contact Information

Specialty

Primary Care

NPI Profile & details for COUNTRY CARE FAMILY CLINIC, LLC

Reviews for COUNTRY CARE FAMILY CLINIC, LLC