Putnam County Medical Home Clinics, Llc

LBN: Putnam County Medical Home Clinics, Llc
Putnam County Medical Home Clinics, Llc is an health care organization with primary practice located at 103 S 18Th St , Unionville MO 63565-1642. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Putnam County Medical Home Clinics, Llc can be contacted via phone (660) 947-2300, or through Fairley, Dawn via phone (610) 737-4704.

Contact Information

Primary practice address
103 S 18Th St Unionville MO 63565-1642
Fax: (660) 947-2307
Website:
Authorized official contact:
Name: Fairley, Dawn

Health care specialties

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

Profile Details

NPI number 1437600657
LBN Legal business name Putnam County Medical Home Clinics, Llc
DBA Doing business as
Authorized official Fairley, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2016
Last updated Oct 24th, 2016 - about 10 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 1437600657 NPPES
Missouri MEDICAID 207348905
Missouri MEDICAID 749127

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