| Continuum Family Care Llc | |
|
2336 S Main St Maryville MO 64468-3622 | |
| (660) 220-2123 | |
| Not Available |
| Full Name | Continuum Family Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2336 S Main St, Maryville, Missouri |
| Authorized Official Name and Position | Charles Samuel Fillingane (OWNER) |
| Authorized Official Contact | 6602202123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Continuum Family Care Llc Po Box 27903 Belfast ME 04915-2031 Ph: () - | Continuum Family Care Llc 2336 S Main St Maryville MO 64468-3622 Ph: (660) 220-2123 |
| NPI Number | 1124633995 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Medicare PECOS PAC ID | 2769892124 |
|---|---|
| Medicare Enrollment ID | O20201113001567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124633995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles Samuel Fillingane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275854465 PECOS PAC ID: 2668596024 Enrollment ID: I20170118001505 |
| Provider Name | Michelle Ann Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336587575 PECOS PAC ID: 9133352289 Enrollment ID: I20170804000461 |
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