Burton Creek Rural Clinic, Llc
LBN: Burton Creek Rural Clinic, Llc
Burton Creek Rural Clinic, Llc is an health care organization with primary practice located at 805 Kentucky Ave , West Plains MO 65775. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Burton Creek Rural Clinic, Llc can be contacted via phone (417) 256-2111, or through Thompson, Tyler via phone (417) 256-2111.
Contact Information
Primary practice address
805 Kentucky Ave
West Plains MO 65775
Phone: (417) 256-2111
Fax: (417) 256-4858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1720075161 |
|---|---|
| LBN Legal business name | Burton Creek Rural Clinic, Llc |
| DBA Doing business as | |
| Authorized official | Thompson, Tyler |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | May 2nd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720075161 | NPPES |
| Other | DC9179 | MEDICARE RR | |
| MEDICAID | 599022308 | MEDICARE RR | |
| MEDICAID | 509022307 | MEDICARE RR |
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