Fcc Primary Care Clinic Poplar Bluff

LBN: Fcc Medical Clinics Llc
Fcc Primary Care Clinic Poplar Bluff is an health care organization with primary practice located at 3001 Warrior Ln , Poplar Bluff MO 63901-8685. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Fcc Medical Clinics Llc can be contacted via phone (573) 686-1200, or through Ellis, Tracy via phone (573) 888-5925.

Contact Information

Primary practice address
3001 Warrior Ln Poplar Bluff MO 63901-8685
Phone: (573) 686-1200
Fax: (573) 778-9492
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Tracy
Phone: (573) 888-5925

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1215510490
LBN Legal business name Fcc Medical Clinics Llc
DBA Doing business as Fcc Primary Care Clinic Poplar Bluff
Authorized official Ellis, Tracy
Entity Organization
Organization subpart 1 Yes
Enumeration date May 4th, 2021
Last updated Jul 12th, 2021 - about 5 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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