Crown Family Medicine Llc

LBN: Marino Phillips And Early Clinic Llc
Crown Family Medicine Llc is an health care organization with primary practice located at 1 Crown Dr Ste 200 , Kirksville MO 63501-2510. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Marino Phillips And Early Clinic Llc can be contacted via phone (660) 665-2846, or through Swisher, Kimberly D via phone (660) 665-2846.

Contact Information

Primary practice address
1 Crown Dr Ste 200 Kirksville MO 63501-2510
Phone: (660) 665-2846
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Swisher, Kimberly D
Phone: (660) 665-2846

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Missouri

Profile Details

NPI number 1487820254
LBN Legal business name Marino Phillips And Early Clinic Llc
DBA Doing business as Crown Family Medicine Llc
Authorized official Swisher, Kimberly D
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2008
Last updated Jul 20th, 2010 - 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 1487820254 NPPES
Missouri Other 113296 BLUE CROSS BLUE SHIELD
Missouri MEDICAID 503873408 BLUE CROSS BLUE SHIELD

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