REPUBLIC FAMILY MEDICAL WALK-IN CLINICS INC NPI 1235100819

NPI Information

NPI: 1235100819
Provider Name: REPUBLIC FAMILY MEDICAL WALK-IN CLINICS INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 26D1037756

Address:
281 US HIGHWAY 60 W
REPUBLIC, MO
ZIP 65738
Phone: (417) 890-5550
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REPUBLIC FAMILY MEDICAL WALK-IN CLINICS INC is an urgent care clinic center in Republic, MO. REPUBLIC FAMILY MEDICAL WALK-IN CLINICS INC NPI is 1235100819. The provider is registered as an organization entity type.

The provider's business location address is:

281 US HIGHWAY 60 W
REPUBLIC, MO
ZIP 65738-432
Phone: (417) 890-5550
Fax: (417) 351-6120

The provider's authorized official is Daniel J. Burke .
The authorized official title is Owner/medical Director and has the following contact phone number (417) 890-5550.

The CLIA number assigned to this NPI record is 26D1037756 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/31/2006 and was last updated on 3/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	R5B57	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	597353804	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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