Family Walk-In Clinic Of Mtn. Grove, Inc.
LBN: Family Walk In Clinic Of Mountain Grove Inc
Family Walk-In Clinic Of Mtn. Grove, Inc. is an health care organization with primary practice located at 205 W 3Rd St Ste 3 , Mountain Grove MO 65711-1600. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty.
Family Walk In Clinic Of Mountain Grove Inc can be contacted via phone (417) 926-3743, or through Dugan, Kenneth H via phone (417) 926-3743.
Contact Information
Primary practice address
205 W 3Rd St Ste 3
Mountain Grove MO 65711-1600
Phone: (417) 926-3743
Fax: (417) 926-7625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1083705529 |
|---|---|
| LBN Legal business name | Family Walk In Clinic Of Mountain Grove Inc |
| DBA Doing business as | Family Walk-In Clinic Of Mtn. Grove, Inc. |
| Authorized official | Dugan, Kenneth H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Nov 12th, 2014 - about 10 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 | 1083705529 | NPPES |
| Missouri | Other | 263939 | RIVERBEND |
| Missouri | MEDICAID | 596020800 | RIVERBEND |
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