Branson Clinic, Llc | |
110 Business Park Dr Ste A Branson MO 65616-7451 | |
(417) 239-0125 | |
(417) 239-0127 |
Full Name | Branson Clinic, Llc |
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Speciality | Family Medicine |
Location | 110 Business Park Dr Ste A, Branson, Missouri |
Authorized Official Name and Position | Darren Allison (CEO) |
Authorized Official Contact | 4172390125 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Branson Clinic, Llc 110 Business Park Dr Ste A Branson MO 65616-7451 Ph: (417) 239-0125 | Branson Clinic, Llc 110 Business Park Dr Ste A Branson MO 65616-7451 Ph: (417) 239-0125 |
NPI Number | 1740255090 |
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Provider Enumeration Date | 02/21/2006 |
Last Update Date | 12/05/2022 |
Medicare PECOS PAC ID | 2365484748 |
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Medicare Enrollment ID | O20050525001002 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740255090 | NPI | - | NPPES |
198478 | Other | MO | BLUE CROSS - ANTHEM |
507300903 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Lynn E Allison |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497748487 PECOS PAC ID: 3678515053 Enrollment ID: I20050526000000 |
Drs Family Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N 3rd St, Branson, MO 65616 Phone: 417-334-3655 Fax: 417-334-3614 | |