Family Healthcare Of Auxvasse Pc | |
201 S Main St Auxvasse MO 65231 | |
(573) 386-5959 | |
(573) 386-5995 |
Full Name | Family Healthcare Of Auxvasse Pc |
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Speciality | Family Medicine |
Location | 201 S Main St, Auxvasse, Missouri |
Authorized Official Name and Position | Rebecca B Kelley (PRESIDENT OWNER) |
Authorized Official Contact | 5733865959 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Healthcare Of Auxvasse Pc Po Box 190 Auxvasse MO 65231-0190 Ph: (573) 386-5959 | Family Healthcare Of Auxvasse Pc 201 S Main St Auxvasse MO 65231 Ph: (573) 386-5959 |
NPI Number | 1134308026 |
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Provider Enumeration Date | 10/29/2007 |
Last Update Date | 11/19/2007 |
Identifier | Type | State | Issuer |
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1134308026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 106418 (Missouri) | Primary |
Audrain Comm Clinic Auxvasse Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 S. Main Street, Auxvasse, MO 65231 Phone: 573-386-5959 Fax: 573-386-5995 |