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MIDWEST FAMILY MEDICINE CLINIC PC NPI 1003872771


NPI Information

NPI: 1003872771
Provider Name: MIDWEST FAMILY MEDICINE CLINIC PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1598 IMPERIAL CTR
SUITE 2009
WEST PLAINS, MO
ZIP 65775
Phone: (417) 256-6866
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MIDWEST FAMILY MEDICINE CLINIC PC is a family medicine in West Plains, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MIDWEST FAMILY MEDICINE CLINIC PC NPI is 1003872771. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1598 IMPERIAL CTR
SUITE 2009
WEST PLAINS, MO
ZIP 65775-818
Phone: (417) 256-6866
Fax: (417) 256-4263

The provider's authorized official is Joseph Chester Francis Camire .
The authorized official title is President / Ceo and has the following contact phone number (417) 256-6866.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 5/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine112624MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11356343826OTHERDR CAMIRES NPI
2G17708MEDICARE UPIN
3010013898MEDICARE PINMISSOURI
4000013898MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE GROUP NUMBER
5248884710MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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