PROFESSIONAL CLINICS LLC NPI 1477909372

NPI Information

  • NPI: 1477909372
  • Provider Name: PROFESSIONAL CLINICS, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: CONVENIENT HEALTHCARE
  • Address: 624 OLD SAINT MARYS RD
    SUITE A
    PERRYVILLE, MO
    ZIP 63775
  • Phone: (573) 547-3232

Map and Directions

Get Directions

NPI Details

PROFESSIONAL CLINICS, LLC is a family medicine in Perryville, 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. PROFESSIONAL CLINICS, LLC NPI is 1477909372. 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 Amelia D Ledbetter .
The authorized official title is Director Of Operations and has the following contact phone number (573) 335-4715.

The enumeration date for this NPI number is 5/10/2016 and was last updated on 5/10/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthNo
2207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MA1758OTHERMEDICARE PART B
2268996MEDICARE OSCAR/CERTIFICATION

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI