Fcc Medical Clinics LLC

NPI #1063081263 in Kennett, Missouri

Provider Information

NPI Number: 1063081263
Entity Type: Organization
Organization Name: Fcc Medical Clinics LLC
Subpart: Yes (part of a larger organization)
Parent Organization: FAMILY COUNSELING CENTER, INC
Primary Specialty: Clinic/Center
Enumeration Date: Jun 22, 2021
Last Updated: Jun 22, 2021

Practice Location

Address: 900 STATE ROUTE VV
City: Kennett
State: Missouri
ZIP Code: 63857-3834
Phone: (573) 559-2365

Authorized Official

Name: TRACY ELLIS
Title: CCO
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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