| Table Rock Family Care Clinic, Llc | |
|
800 Highway 248 Ste F Branson MO 65616-4078 | |
| (417) 324-7672 | |
| Not Available |
| Full Name | Table Rock Family Care Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Highway 248 Ste F, Branson, Missouri |
| Authorized Official Name and Position | Charles S Rasmussen (PHYSICIAN) |
| Authorized Official Contact | 4174591323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Table Rock Family Care Clinic, Llc 800 Highway 248 Ste F Branson MO 65616-4078 Ph: (417) 324-7672 | Table Rock Family Care Clinic, Llc 800 Highway 248 Ste F Branson MO 65616-4078 Ph: (417) 324-7672 |
| NPI Number | 1952934937 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/23/2021 |
| Medicare PECOS PAC ID | 1052740750 |
|---|---|
| Medicare Enrollment ID | O20200401000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952934937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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