Caruthersville Clinic

LBN: Caruthersville Clinic
Caruthersville Clinic is an health care organization with primary practice located at 412 Ward Ave , Caruthersville MO 63830-1451. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Caruthersville Clinic can be contacted via phone (579) 333-0033, or through Ledbetter, Amy D via phone (573) 651-4488.

Contact Information

Primary practice address
412 Ward Ave Caruthersville MO 63830-1451
Phone: (579) 333-0033
Fax: (573) 333-2522
Website:
Map and Directions
Authorized official contact:
Name: Ledbetter, Amy D
Phone: (573) 651-4488

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1487829222
LBN Legal business name Caruthersville Clinic
DBA Doing business as
Authorized official Ledbetter, Amy D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487829222 NPPES
Missouri MEDICAID 507402907

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