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RANDY S. BUCKLES DO FAMILY HEALTH CARE LLC NPI 1396753422


NPI Information

NPI: 1396753422
Provider Name: RANDY S. BUCKLES, DO, FAMILY HEALTH CARE, LLC

Doing Business As: FAMILY HEALTH CARE, LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
220 SOUTH WOODBINE RD
SAINT JOSEPH, MO
ZIP 64506
Phone: (816) 676-1300
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RANDY S. BUCKLES, DO, FAMILY HEALTH CARE, LLC is a family medicine in Saint Joseph, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RANDY S. BUCKLES, DO, FAMILY HEALTH CARE, LLC NPI is 1396753422. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Health Care, Llc.

The provider's business location address is:

220 SOUTH WOODBINE RD
SAINT JOSEPH, MO
ZIP 64506
Phone: (816) 676-1300
Fax: (816) 676-1400

The provider's authorized official is Patricia Ann Buckles .
The authorized official title is Office Manager and has the following contact phone number (816) 676-1300.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 12/29/2009.


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
1207Q00000XFamily MedicineYes

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
1458828OTHERMISSOURIHEALTHLINK GRP ID
2=========OTHERMISSOURIWPS TRICARE FOR LIFE ID
3G68865MEDICARE UPINMISSOURI
42326850OTHERMISSOURIAETNA PROV ID
5CH5327OTHERMISSOURIRAILROAD RETIREMENT BOARD
610001359400OTHERMISSOURICHP ID
7458858OTHERMISSOURIFREEDOM/HEALTHLINK ID
8499640064OTHERMISSOURIWPS/WEST REG. CLAIMS ID
94761830001MEDICARE NSCMISSOURI
1010001359400OTHERMISSOURICOMMUNITY HEALTH PLAN
11505804906MEDICAIDMISSOURI
1227020012OTHERMISSOURIBCKC GRP ID
13K360000MEDICARE PINMISSOURI

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

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