| C.w. Long Enterprises, Inc. | |
|
200 W Chestnut St Butler MO 64730-1554 | |
| (660) 679-3140 | |
| (660) 679-3468 |
| Full Name | C.w. Long Enterprises, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 200 W Chestnut St, Butler, Missouri |
| Authorized Official Name and Position | Curtis W. Long (OWNER/PHYSICAIN) |
| Authorized Official Contact | 6606793140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C.w. Long Enterprises, Inc. Po Box 140 Butler MO 64730-0140 Ph: (660) 679-3140 | C.w. Long Enterprises, Inc. 200 W Chestnut St Butler MO 64730-1554 Ph: (660) 679-3140 |
| NPI Number | 1811122864 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 05/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811122864 | NPI | - | NPPES |
| 200645901 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 29119 (Missouri) | Primary |
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