Robbins Family Healthcare Llc | |
355 N Chamber Dr Fredericktown MO 63645-7947 | |
(573) 944-7231 | |
(573) 561-1166 |
Full Name | Robbins Family Healthcare Llc |
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Speciality | Family Medicine |
Location | 355 N Chamber Dr, Fredericktown, Missouri |
Authorized Official Name and Position | Michael D Robbins (OWNER) |
Authorized Official Contact | 5739447231 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Robbins Family Healthcare Llc 355 N Chamber Dr Fredericktown MO 63645-7947 Ph: (573) 944-7231 | Robbins Family Healthcare Llc 355 N Chamber Dr Fredericktown MO 63645-7947 Ph: (573) 944-7231 |
NPI Number | 1437591328 |
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Provider Enumeration Date | 07/22/2013 |
Last Update Date | 07/24/2013 |
Medicare PECOS PAC ID | 6103051412 |
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Medicare Enrollment ID | O20131022001364 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437591328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Michael D Robbins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881705564 PECOS PAC ID: 4981758224 Enrollment ID: I20101228000458 |
Provider Name | Kelsey Marie Kinneman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336655539 PECOS PAC ID: 3072871763 Enrollment ID: I20180102001021 |
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