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CAPE FAMILY CARE LLC NPI 1538408737


NPI Information

NPI: 1538408737
Provider Name: CAPE FAMILY CARE LLC

Doing Business As: CAPE FAMILY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D2062179

Address:
2907 KEYSTONE DR
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 803-2400
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CAPE FAMILY CARE LLC is a family medicine in Cape Girardeau, 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. CAPE FAMILY CARE LLC NPI is 1538408737. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cape Family Care.

The provider's business location address is:

2907 KEYSTONE DR
CAPE GIRARDEAU, MO
ZIP 63701-724
Phone: (573) 803-2400
Fax: (877) 516-6401

The provider's authorized official is Robert Daniel Bieser .
The authorized official title is Managing Partner and has the following contact phone number (573) 906-3850.

The CLIA number assigned to this NPI record is 26D2062179 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2013 and was last updated on 12/8/2023.


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 Medicine104929MISSOURIYes

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
1246850705MEDICAIDMISSOURI

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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