Organization · Type 2 NPI
Country Care Family Clinic, LLC
Primary Care Clinic/Center · Ellsinore, MO
NPI number
1306313051
Active
Practice location
3 E Cleveland Ave
Ellsinore, MO 63937
Mailing address
PO Box 446
Ellsinore, MO 63937-0446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1306313051
Country Care Family Clinic, LLC's National Provider Identifier is 1306313051, issued on Oct 31, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Ellsinore, MO. The record was last updated on Oct 31, 2018.