Clark Family Medicine, Llc

LBN: Clark Family Medicine, Llc
Clark Family Medicine, Llc is an health care organization with primary practice located at 1200 E Woodhurst Dr Suite Q-200, Springfield MO 65804-4261. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Clark Family Medicine, Llc can be contacted via phone (417) 881-5639, or through Clark, Jonathan Lee via phone (417) 881-5639.

Contact Information

Primary practice address
1200 E Woodhurst Dr Suite Q-200 Springfield MO 65804-4261
Phone: (417) 881-5639
Fax: (417) 881-5664
Website:
Map and Directions
Authorized official contact:
Name: Clark, Jonathan Lee Doctor of Medicine (MD)
Phone: (417) 881-5639

Health care specialties

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

Profile Details

NPI number 1841435138
LBN Legal business name Clark Family Medicine, Llc
DBA Doing business as
Authorized official Clark, Jonathan Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2008
Last updated Dec 16th, 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.

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