| Family Health Care, Llc | |
|
220 South Woodbine Rd Saint Joseph MO 64506 | |
| (816) 676-1300 | |
| (816) 676-1400 |
| Full Name | Family Health Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 220 South Woodbine Rd, Saint Joseph, Missouri |
| Authorized Official Name and Position | Patricia Ann Buckles (OFFICE MANAGER) |
| Authorized Official Contact | 8166761300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care, Llc 220 South Woodbine Rd Saint Joseph MO 64506 Ph: (816) 676-1300 | Family Health Care, Llc 220 South Woodbine Rd Saint Joseph MO 64506 Ph: (816) 676-1300 |
| NPI Number | 1396753422 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 12/29/2009 |
| Medicare PECOS PAC ID | 7618916446 |
|---|---|
| Medicare Enrollment ID | O20050429000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396753422 | NPI | - | NPPES |
| 458858 | Other | MO | FREEDOM/HEALTHLINK ID |
| 10001359400 | Other | MO | CHP ID |
| 27020012 | Other | MO | BCKC GRP ID |
| 458828 | Other | MO | HEALTHLINK GRP ID |
| CH5327 | Other | MO | RAILROAD RETIREMENT BOARD |
| 10001359400 | Other | MO | COMMUNITY HEALTH PLAN |
| 2326850 | Other | MO | AETNA PROV ID |
| 499640064 | Other | MO | WPS/WEST REG. CLAIMS ID |
| 505804906 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Randy S Buckles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447268560 PECOS PAC ID: 6406895226 Enrollment ID: I20050429000819 |
| Provider Name | Deborah L Uplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437165743 PECOS PAC ID: 4587668728 Enrollment ID: I20060831000169 |
| Provider Name | Christopher S Buckles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790947901 PECOS PAC ID: 8820252125 Enrollment ID: I20120618000711 |
| Provider Name | Danyelle D Kerns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669805818 PECOS PAC ID: 8820398043 Enrollment ID: I20151119001905 |
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