| Forest City Family Practice Llc | |
|
1000 N Jefferson St Saint James MO 65559-1078 | |
| (573) 265-8840 | |
| (573) 265-8884 |
| Full Name | Forest City Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1000 N Jefferson St, Saint James, Missouri |
| Authorized Official Name and Position | Kathy Kleffner (BUSINESS OFFICE) |
| Authorized Official Contact | 5732658840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest City Family Practice Llc 1000 N Jefferson St Saint James MO 65559-1078 Ph: (573) 265-8840 | Forest City Family Practice Llc 1000 N Jefferson St Saint James MO 65559-1078 Ph: (573) 265-8840 |
| NPI Number | 1255492575 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255492575 | NPI | - | NPPES |
| 505749309 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Forest City Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 N Jefferson St, Saint James, MO 65559 Phone: 573-265-8840 Fax: 573-265-8884 | |