Carroll County Medical Clinic

LBN: Carroll County Medical Clinic
Carroll County Medical Clinic is an health care organization with primary practice located at 1502 N Jefferson St St Suite A B, Carrollton MO 64633-1948. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Carroll County Medical Clinic can be contacted via phone (660) 542-3865, or through Dover, Jerry via phone (660) 542-1695.

Contact Information

Primary practice address
1502 N Jefferson St St Suite A B Carrollton MO 64633-1948
Phone: (660) 542-3865
Fax: (660) 542-0336
Website:
Map and Directions
Authorized official contact:
Name: Dover, Jerry
Phone: (660) 542-1695

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD106594 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD109202 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD106594 Missouri
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD109202 Missouri

Profile Details

NPI number 1366752768
LBN Legal business name Carroll County Medical Clinic
DBA Doing business as
Authorized official Dover, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2010
Last updated Oct 19th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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