Organization · Type 2 NPI

Flat Creek Enterprises, LLC

Medical Specialty Clinic/Center · Springfield, MO

NPI number 1194908632 Active

Practice location

1410 E Kearney St, Suite D
Springfield, MO 65803-4102

Mailing address

PO Box 8235
Springfield, MO 65801-8235

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X114747 (MO)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1194908632

Flat Creek Enterprises, LLC's National Provider Identifier is 1194908632, issued on Dec 6, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Springfield, MO. The record was last updated on Apr 29, 2008.