Prime Care Of Ava

LBN: Mansfield Clinic, Inc.
Prime Care Of Ava is an health care organization with primary practice located at 120 Sw 2Nd Avenue , Ava MO 65608. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Mansfield Clinic, Inc. can be contacted via phone (417) 683-6790, or through Dugan, Kenneth H via phone (417) 924-3066.

Contact Information

Primary practice address
120 Sw 2Nd Avenue Ava MO 65608
Phone: (417) 683-6790
Fax: (417) 683-6770
Website:
Map and Directions
Authorized official contact:
Name: Dugan, Kenneth H Doctor of Medicine (MD)
Phone: (417) 924-3066

Health care specialties

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

Profile Details

NPI number 1285687509
LBN Legal business name Mansfield Clinic, Inc.
DBA Doing business as Prime Care Of Ava
Authorized official Dugan, Kenneth H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 18th, 2006
Last updated Apr 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285687509 NPPES
Missouri MEDICAID 508809506

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