MIDWEST FAMILY MEDICINE CLINIC PC NPI 1003872771

Family Medicine in West Plains, MO

About MIDWEST FAMILY MEDICINE CLINIC PC

Midwest Family Medicine Clinic Pc is a provider in West Plains, MO. The NPI number assigned to this provider is 1003872771. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an organization and their NPI record was last updated 9 years ago. Midwest Family Medicine Clinic Pc operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003872771 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMIDWEST FAMILY MEDICINE CLINIC PC
Provider Location Address1598 IMPERIAL CTR SUITE 2009 WEST PLAINS, MO 65775 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1598 IMPERIAL CTR SUITE 2009 WEST PLAINS, MO 65775 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-21-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date05-29-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MIDWEST FAMILY MEDICINE CLINIC PC
1598 IMPERIAL CTR
SUITE 2009
WEST PLAINS, MO
ZIP 65775
Phone: (417) 256-6866
Fax: (417) 256-4263
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Mailing Address

MIDWEST FAMILY MEDICINE CLINIC PC
1598 IMPERIAL CTR
SUITE 2009
WEST PLAINS, MO
ZIP 65775
Phone: (417) 256-6866
Fax: (417) 256-4263

Primary Taxonomy

Taxonomy Code207Q00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.112624
License StateMO
Taxonomy DescriptionFamily 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.

Authorized Official

Authorized Official NameDR. JOSEPH CHESTER FRANCIS CAMIRE D.O. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT / CEO
Authorized Official Phone(417) 256-6866

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1356343826OTHER (01)
G17708MEDICARE UPIN (02)
010013898MEDICARE PIN (08)MO
000013898MEDICARE ID-TYPE UNSPECIFIED (04)MO
248884710MEDICAID (05)MO

Map Location


MIDWEST FAMILY MEDICINE CLINIC PC address is 1598 IMPERIAL CTR SUITE 2009 WEST PLAINS, MO 65775

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275653867DR. SANDRA KAY ABRAMS D.C.
Individual
Chiropractor1598 IMPERIAL CTR SUITE 2013
WEST PLAINS, MO 65775
(417) 255-2727