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FAMILIES 1ST OF DESOTO LLC. NPI 1538591227


NPI Information

NPI: 1538591227
Provider Name: FAMILIES 1ST OF DESOTO, LLC.
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
127 W PRATT ST
DE SOTO, MO
ZIP 63020
Phone: (636) 337-7800
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FAMILIES 1ST OF DESOTO, LLC. is a rural health clinic center in De Soto, MO. FAMILIES 1ST OF DESOTO, LLC. NPI is 1538591227. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

127 W PRATT ST
DE SOTO, MO
ZIP 63020-107
Phone: (636) 337-7800
Fax: (636) 337-7804

The provider's authorized official is Crystal Rene Heady-fenwick .
The authorized official title is Office Manager and has the following contact phone number (636) 337-7800.

The enumeration date for this NPI number is 8/5/2013 and was last updated on 9/10/2013.


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 Medicine102003MISSOURINo
2363LA2200XNurse PractitionerAdult Health144688MISSOURINo
3363LF0000XNurse PractitionerFamily2010037937MISSOURINo
4261QR1300XClinic/CenterRural HealthYes

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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