| Fcc Primary Care Clinic | |
|
900 State Route Vv Kennett MO 63857-3834 | |
| (573) 888-5925 | |
| Not Available |
| Full Name | Fcc Primary Care Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 900 State Route Vv, Kennett, Missouri |
| Authorized Official Name and Position | Mary Shane Guthrie (PRIVILEGING COORDINATOR) |
| Authorized Official Contact | 5738885925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fcc Primary Care Clinic Po Box 71 Kennett MO 63857-0071 Ph: () - | Fcc Primary Care Clinic 900 State Route Vv Kennett MO 63857-3834 Ph: (573) 888-5925 |
| NPI Number | 1386101467 |
|---|---|
| Provider Enumeration Date | 02/26/2019 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386101467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Fcc Medical Clinics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 State Route Vv, Kennett, MO 63857 Phone: 573-559-2365 Fax: 573-559-2357 |