| Burton Creek Rural Clinic, Llc | |
|
805 N Kentucky Ave West Plains MO 65775-2022 | |
| (417) 256-2111 | |
| (417) 256-4858 |
| Full Name | Burton Creek Rural Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 805 N Kentucky Ave, West Plains, Missouri |
| Authorized Official Name and Position | Sonja Lea Stauffer (CEO) |
| Authorized Official Contact | 4172562111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burton Creek Rural Clinic, Llc 805 N Kentucky Ave West Plains MO 65775-2022 Ph: (417) 256-2111 | Burton Creek Rural Clinic, Llc 805 N Kentucky Ave West Plains MO 65775-2022 Ph: (417) 256-2111 |
| NPI Number | 1003330713 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003330713 | NPI | - | NPPES |
| 599022308 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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