Family Medicine Of Southeast Missouri, Llc

LBN: Family Medicine Of Southeast Missouri, Llc
Family Medicine Of Southeast Missouri, Llc is an health care organization with primary practice located at 808 E Wakefield Ave , Sikeston MO 63801-5147. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Family Medicine Of Southeast Missouri, Llc can be contacted via phone (573) 620-6444, or through Roberts, Vicki Jane via phone (573) 620-6444.

Contact Information

Primary practice address
808 E Wakefield Ave Sikeston MO 63801-5147
Phone: (573) 620-6444
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Vicki Jane Doctor of Medicine (MD)
Phone: (573) 620-6444

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 2005013758 Missouri

Profile Details

NPI number 1619145612
LBN Legal business name Family Medicine Of Southeast Missouri, Llc
DBA Doing business as
Authorized official Roberts, Vicki Jane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2008
Last updated Sep 8th, 2011 - 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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