COMPREHENSIVE FAMILY HEALTH CARE LLC (NPI# 1245415389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245415389 |
Entity Type | Organization |
Organization Name | COMPREHENSIVE FAMILY HEALTH CARE LLC |
Practice Address |
142 S Winchester St Benton MO 63736-0000 |
Mailing Address |
Po Box 1396 Cape Girardeau MO 63702-1396 |
Practice Telephone | 5733351344 |
Mailing Telephone | 5733351344 |
Mailing Fax Number | 5733353992 |
Enumeration Date | 2008-01-08 |
Last Update Date | 2017-08-22 |
Authorized Official Name | MRS. ROBIN E. MILLER (OFFICE MANAGER) |
Authorized Official Telephone | 5735614814 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 100630 | MO | Allopathic & Osteopathic Physicians |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 1245415389 | 05 | |
HEALTHLINK | 175986 | 01 | |
MO | BCBS | 221260 | 01 |
Street Address |
142 S WINCHESTER ST |
City | BENTON |
State | MO |
Zip Code | 63736-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528348778 | Southeast Missouri Health Network | Dentist | 6724 Highway 77 E, Benton, MO 63736 | 2011-08-19 |
1427385376 | Amber Nicole Thorne | Nurse Practitioner | 6468 State Highway 77, Benton, MO 63736-8237 | 2009-11-13 |
1609230507 | Missouri Delta Medical Center | Clinic/Center | 6468 State Highway 77, Benton, MO 63736-8237 | 2016-04-07 |
1902297880 | Jaimie Suzanne Cannon | Nurse Practitioner | 6468 State Highway 77, Benton, MO 63736-8237 | 2015-02-12 |
1699084814 | Travis James Weiss | Physician Assistant | 6724 State Highway 77, Benton, MO 63736-8238 | 2010-10-05 |
1932108974 | Southeast Missouri Health Network | Clinic/Center | 6738 State Highway 77, Benton, MO 63736-8238 | 2005-07-20 |
1992048961 | Jessica Pickel | Dental Hygienist | 6724 State Highway 77, Benton, MO 63736-8238 | 2013-03-28 |
1497035661 | Southeast Missouri Health Network | Clinic/Center | 6724 State Highway 77, Benton, MO 63736-8238 | 2011-08-19 |
1366514523 | Scott County R-iv School District | Physical Therapist | 4035 State Highway 77, Benton, MO 63736-9162 | 2006-11-14 |
1407489727 | Lana Jean Atkins | Speech-Language Pathologist | 4035 State Highway 77, Benton, MO 63736-9162 | 2020-02-14 |
Find all providers in zip 63736 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1780985135 | Southern Illinois Medical Services, Nfp | Clinic/Center | 203 Bailey Ln, Suite 1, Benton, IL 62812-1969 | 2010-11-16 |
1982845137 | Southern Illinois Medical Services, Nfp | Clinic/Center | 203 Bailey Ln, Benton, IL 62812-1969 | 2009-03-18 |
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1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
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1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
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1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.