| Family Care Clinic Nursery | |
|
617 W Nursery St Butler MO 64730-1840 | |
| (660) 200-7133 | |
| Not Available |
| Full Name | Family Care Clinic Nursery |
|---|---|
| Speciality | Clinic/Center |
| Location | 617 W Nursery St, Butler, Missouri |
| Authorized Official Name and Position | Gregory Weaver (CEO) |
| Authorized Official Contact | 6602007000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Clinic Nursery 617 W Nursery St Butler MO 64730-1840 Ph: (660) 200-7133 | Family Care Clinic Nursery 617 W Nursery St Butler MO 64730-1840 Ph: (660) 200-7133 |
| NPI Number | 1669606588 |
|---|---|
| Provider Enumeration Date | 05/06/2009 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 8123937356 |
|---|---|
| Medicare Enrollment ID | O20100108000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669606588 | NPI | - | NPPES |
| 596849307 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 109083 (Missouri) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 268606 (Missouri) | Primary |
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