Country Care Family Clinic, Llc | |
3 E Cleveland Ave Ellsinore MO 63937 | |
(573) 429-6698 | |
Not Available |
Full Name | Country Care Family Clinic, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 3 E Cleveland Ave, Ellsinore, Missouri |
Authorized Official Name and Position | Laura Victoria Nance (NURSE PRACTITIONER/ OFFICE MANAGER) |
Authorized Official Contact | 5734296698 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Country Care Family Clinic, Llc Po Box 446 Ellsinore MO 63937-0446 Ph: (573) 429-6698 | Country Care Family Clinic, Llc 3 E Cleveland Ave Ellsinore MO 63937 Ph: (573) 429-6698 |
NPI Number | 1306313051 |
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Provider Enumeration Date | 10/31/2018 |
Last Update Date | 10/31/2018 |
Identifier | Type | State | Issuer |
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1306313051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |