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CHAFFEE FAMILY CARE LLC NPI 1669946869


NPI Information

NPI: 1669946869
Provider Name: CHAFFEE FAMILY CARE LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 26D2279112

Address:
206 S MAIN ST
CHAFFEE, MO
ZIP 63740
Phone: (573) 475-7071
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CHAFFEE FAMILY CARE LLC is a family nurse practitioner in Chaffee, MO. CHAFFEE FAMILY CARE LLC NPI is 1669946869. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

206 S MAIN ST
CHAFFEE, MO
ZIP 63740-002
Phone: (573) 475-7071
Fax: (573) 475-7237

The provider's authorized official is Misty Wilhite .
The authorized official title is Owner and has the following contact phone number (573) 475-7071.

The CLIA number assigned to this NPI record is 26D2279112 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2019 and was last updated on 9/27/2023.


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
1363LF0000XNurse PractitionerFamilyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.