| Family Healthcare Of Auxvasse Pc | |
|
201 S Main St Auxvasse MO 65231 | |
| (573) 386-5959 | |
| (573) 386-5995 |
| Full Name | Family Healthcare Of Auxvasse Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 S Main St, Auxvasse, Missouri |
| Authorized Official Name and Position | Rebecca B Kelley (PRESIDENT OWNER) |
| Authorized Official Contact | 5733865959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Of Auxvasse Pc Po Box 190 Auxvasse MO 65231-0190 Ph: (573) 386-5959 | Family Healthcare Of Auxvasse Pc 201 S Main St Auxvasse MO 65231 Ph: (573) 386-5959 |
| NPI Number | 1134308026 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 11/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134308026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 106418 (Missouri) | Primary |
Noble Health Audrain Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S. Main Street, Auxvasse, MO 65231 Phone: 573-386-5959 Fax: 573-386-5995 |