Plunkett Family Care Center Llc

LBN: Plunkett Family Care Center Llc
Plunkett Family Care Center Llc is an health care organization with primary practice located at 2480 Three Rivers Blvd , Poplar Bluff MO 63901-2318. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Plunkett Family Care Center Llc can be contacted via phone (573) 686-5564, or through Haas, Kathy A via phone (573) 686-5564.

Contact Information

Primary practice address
2480 Three Rivers Blvd Poplar Bluff MO 63901-2318
Phone: (573) 686-5564
Fax: (573) 686-2838
Website:
Map and Directions
Authorized official contact:
Name: Haas, Kathy A
Phone: (573) 686-5564

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R3284 Missouri
Ambulatory Health Care Facilities / Primary Care 261QP2300X R3284 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 143295 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 089729 Missouri

Profile Details

NPI number 1922280189
LBN Legal business name Plunkett Family Care Center Llc
DBA Doing business as
Authorized official Haas, Kathy A
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 29th, 2007
Last updated Nov 29th, 2007 - about 18 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 1922280189 NPPES
Other DA1473 RAILROAD MEDICARE

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