Republic Family Medicine, Llc

LBN: Republic Family Medicine, Llc
Republic Family Medicine, Llc is an health care organization with primary practice located at 117 W State Highway 174 , Republic MO 65738-1036. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Republic Family Medicine, Llc can be contacted via phone (417) 647-5131, or through Agius, Yvonne Marie via phone (417) 824-0914.

Contact Information

Primary practice address
117 W State Highway 174 Republic MO 65738-1036
Phone: (417) 647-5131
Fax: (417) 647-5168
Website:
Map and Directions
Authorized official contact:
Name: Agius, Yvonne Marie Doctor of Medicine (MD)
Phone: (417) 824-0914

Health care specialties

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

Profile Details

NPI number 1679980502
LBN Legal business name Republic Family Medicine, Llc
DBA Doing business as
Authorized official Agius, Yvonne Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2014
Last updated Oct 2nd, 2023 - about 3 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 1679980502 NPPES
Missouri MEDICAID 1699724708

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