| Family Health And Wellness Clinic, Llc | |
|
138 S Main St Liberal MO 64762-9314 | |
| (417) 843-2008 | |
| Not Available |
| Full Name | Family Health And Wellness Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 138 S Main St, Liberal, Missouri |
| Authorized Official Name and Position | Carla Michelle Reed (MEMBER/FNP-BC) |
| Authorized Official Contact | 5735692046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health And Wellness Clinic, Llc Po Box 13 Liberal MO 64762-0013 Ph: (573) 569-2046 | Family Health And Wellness Clinic, Llc 138 S Main St Liberal MO 64762-9314 Ph: (417) 843-2008 |
| NPI Number | 1215436696 |
|---|---|
| Provider Enumeration Date | 02/12/2018 |
| Last Update Date | 12/31/2020 |
| Medicare PECOS PAC ID | 2163785106 |
|---|---|
| Medicare Enrollment ID | O20180404002108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215436696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Judy Munyon Parton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407913833 PECOS PAC ID: 9537126289 Enrollment ID: I20041214000548 |
| Provider Name | Carla Michelle Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083168785 PECOS PAC ID: 3072800549 Enrollment ID: I20161118000126 |