Mt.Vernon Clinic
LBN: Cheryl G Williams Do Pc
Mt.Vernon Clinic is an health care organization with primary practice located at 1011 S East St , Mount Vernon MO 65712-1331. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Cheryl G Williams Do Pc can be contacted via phone (417) 466-7191, or through Roberts, Kim K via phone (417) 466-7191.
Contact Information
Primary practice address
1011 S East St
Mount Vernon MO 65712-1331
Phone: (417) 466-7191
Fax: (417) 466-3876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 113916 | Missouri |
Profile Details
| NPI number | 1649332156 |
|---|---|
| LBN Legal business name | Cheryl G Williams Do Pc |
| DBA Doing business as | Mt.Vernon Clinic |
| Authorized official | Roberts, Kim K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 11th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649332156 | NPPES |
| Missouri | MEDICAID | 590665907 |
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