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DRAVES FAMILY PRACTICE NPI 1568592483


NPI Information

NPI: 1568592483
Provider Name: DRAVES FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1471 US HWY 61
FESTUS, MO
ZIP 63028
Phone: (636) 937-2700
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DRAVES FAMILY PRACTICE is a family medicine in Festus, 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. DRAVES FAMILY PRACTICE NPI is 1568592483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1471 US HWY 61
FESTUS, MO
ZIP 63028-109
Phone: (636) 937-2700
Fax: (636) 937-8666

The provider's authorized official is Jeffrey Leonard Draves .
The authorized official title is Owner and has the following contact phone number (636) 937-2700.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 2/10/2009.


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
1000080940MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
2000005613MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
3990001327MEDICARE PINMISSOURI
4202387007MEDICAIDMISSOURI
5G44087MEDICARE UPINMISSOURI
6P28639MEDICARE UPINMISSOURI
7A26560MEDICARE UPINMISSOURI
8425251600MEDICAIDMISSOURI
9000005635MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
10208290403MEDICAIDMISSOURI

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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