| Community Family Medicine | |
|
17269 Wild Horse Creek Rd Suite 240 Chesterfield MO 63005-1360 | |
| (636) 778-1003 | |
| (636) 778-9342 |
| Full Name | Community Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 17269 Wild Horse Creek Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Haikun Li (PRESIDENT) |
| Authorized Official Contact | 6367781003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Medicine Po Box 1125 Maryland Heights MO 63043-0125 Ph: (636) 778-1003 | Community Family Medicine 17269 Wild Horse Creek Rd Suite 240 Chesterfield MO 63005-1360 Ph: (636) 778-1003 |
| NPI Number | 1871839373 |
|---|---|
| Provider Enumeration Date | 01/02/2013 |
| Last Update Date | 01/02/2013 |
| Medicare PECOS PAC ID | 1254571805 |
|---|---|
| Medicare Enrollment ID | O20130703000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871839373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2008031582 (Missouri) | Primary |
| Provider Name | Haikun Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437373834 PECOS PAC ID: 5193841930 Enrollment ID: I20100929000537 |
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