St. Joseph Family Medical Clinic, Inc.

LBN: St. Joseph Family Medical Clinic, Inc.
St. Joseph Family Medical Clinic, Inc. is an health care organization with primary practice located at 2120 S Riverside Rd , Saint Joseph MO 64507-2535. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. St. Joseph Family Medical Clinic, Inc. can be contacted via phone (816) 671-1331, or through Johnson, Marilyn Rose via phone (816) 671-1331.

Contact Information

Primary practice address
2120 S Riverside Rd Saint Joseph MO 64507-2535
Phone: (816) 671-1331
Fax: (816) 676-1311
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Marilyn Rose
Phone: (816) 671-1331

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1700858180
LBN Legal business name St. Joseph Family Medical Clinic, Inc.
DBA Doing business as
Authorized official Johnson, Marilyn Rose
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Jun 27th, 2008 - about 16 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 1700858180 NPPES
Missouri MEDICAID 503971103
Missouri Other 24542019

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