Country Corner Family Medical Center

LBN: Kendel L Klein
Country Corner Family Medical Center is an health care organization with primary practice located at 101 W Patterson St , Mount Vernon MO 65712-1054. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Kendel L Klein can be contacted via phone (417) 466-7700, or through Klein, Kendel L via phone (417) 466-7700.

Contact Information

Primary practice address
101 W Patterson St Mount Vernon MO 65712-1054
Phone: (417) 466-7700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klein, Kendel L Doctor of Medicine (MD)
Phone: (417) 466-7700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1770578569
LBN Legal business name Kendel L Klein
DBA Doing business as Country Corner Family Medical Center
Authorized official Klein, Kendel L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2005
Last updated Nov 10th, 2009 - about 15 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 1770578569 NPPES
Missouri MEDICAID 598499606

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