Dixon Family Practice And Internal Medicine, Llc

LBN: Dixon Family Practice And Internal Medicine, Llc
Dixon Family Practice And Internal Medicine, Llc is an health care organization with primary practice located at 206 West 2Nd Street , Dixon MO 65459-0940. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Dixon Family Practice And Internal Medicine, Llc can be contacted via phone (573) 759-3030, or through Mcmillian, Carlene S via phone (573) 759-3030.

Contact Information

Primary practice address
206 West 2Nd Street Dixon MO 65459-0940
Phone: (573) 759-3030
Fax: (573) 759-3131
Website:
Map and Directions
Authorized official contact:
Name: Mcmillian, Carlene S Family Nurse Practitioner (FNP)
Phone: (573) 759-3030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R6D44 Missouri
Ambulatory Health Care Facilities / Rural Health 261QR1300X 263875 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 113217 Missouri

Profile Details

NPI number 1235135682
LBN Legal business name Dixon Family Practice And Internal Medicine, Llc
DBA Doing business as
Authorized official Mcmillian, Carlene S Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated Apr 29th, 2008 - about 17 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 1235135682 NPPES
Missouri MEDICAID 508937000
Missouri MEDICAID 598937001

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