| West Plains Family Clinic Inc. | |
|
1108 Alaska St West Plains MO 65775-2002 | |
| (417) 256-7137 | |
| (417) 257-7150 |
| Full Name | West Plains Family Clinic Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1108 Alaska St, West Plains, Missouri |
| Authorized Official Name and Position | Arthur George Bentley (OWNER/OPERATOR) |
| Authorized Official Contact | 4172567137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Plains Family Clinic Inc. 1108 Alaska St West Plains MO 65775-2002 Ph: (417) 256-7137 | West Plains Family Clinic Inc. 1108 Alaska St West Plains MO 65775-2002 Ph: (417) 256-7137 |
| NPI Number | 1306155668 |
|---|---|
| Provider Enumeration Date | 10/04/2010 |
| Last Update Date | 10/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306155668 | NPI | - | NPPES |
| 240014118 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO34955 (Missouri) | Primary |
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