C. Tucker Joustra Family Practice, Inc.

LBN: C. Tucker Joustra Family Practice, Inc.
C. Tucker Joustra Family Practice, Inc. is an health care organization with primary practice located at 805 Gulf St , Lamar MO 64759-1238. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. C. Tucker Joustra Family Practice, Inc. can be contacted via phone (417) 682-5508, or through Joustra, Clarence Tucker via phone (417) 682-5508.

Contact Information

Primary practice address
805 Gulf St Lamar MO 64759-1238
Phone: (417) 682-5508
Fax: (417) 682-5594
Website:
Map and Directions
Authorized official contact:
Name: Joustra, Clarence Tucker Doctor of Osteopathy (DO)
Phone: (417) 682-5508

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X R9G86 Missouri

Profile Details

NPI number 1609108240
LBN Legal business name C. Tucker Joustra Family Practice, Inc.
DBA Doing business as
Authorized official Joustra, Clarence Tucker Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2010
Last updated Feb 8th, 2010 - about 14 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 1609108240 NPPES
Missouri MEDICAID 242426534

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