Branson Clinic, Llc

LBN: Branson Clinic, Llc
Branson Clinic, Llc is an health care organization with primary practice located at 110 Business Park Dr Ste A , Branson MO 65616-7451. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Branson Clinic, Llc can be contacted via phone (417) 239-0125, or through Allison, Darren via phone (417) 239-0125.

Contact Information

Primary practice address
110 Business Park Dr Ste A Branson MO 65616-7451
Phone: (417) 239-0125
Fax: (417) 239-0127
Website:
Map and Directions
Authorized official contact:
Name: Allison, Darren
Phone: (417) 239-0125

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1740255090
LBN Legal business name Branson Clinic, Llc
DBA Doing business as
Authorized official Allison, Darren
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Dec 5th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740255090 NPPES
Missouri Other 198478 BLUE CROSS - ANTHEM
Missouri MEDICAID 507300903 BLUE CROSS - ANTHEM

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