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PROFESSIONAL CLINICS LLC NPI 1154563559


NPI Information

NPI: 1154563559
Provider Name: PROFESSIONAL CLINICS LLC

Doing Business As: CONVENIENT HEALTHCARE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
624 OLD SAINT MARYS RD
SUITE A
PERRYVILLE, MO
ZIP 63775
Phone: (573) 547-3232
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PROFESSIONAL CLINICS LLC is a clinic center in Perryville, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROFESSIONAL CLINICS LLC NPI is 1154563559. The provider is registered as an organization entity type.
The provider Is Doing Business As Convenient Healthcare.

The provider's business location address is:

624 OLD SAINT MARYS RD
SUITE A
PERRYVILLE, MO
ZIP 63775-837
Phone: (573) 547-3232
Fax: (573) 547-3231

The provider's authorized official is Barry Naeger .
The authorized official title is Owner and has the following contact phone number (573) 547-3232.

The enumeration date for this NPI number is 3/31/2009 and was last updated on 6/21/2011.


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
1261QR1300XClinic/CenterRural HealthNo
2363LF0000XNurse PractitionerFamilyNo
3261Q00000XClinic/CenterYes

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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