OLDE TOWNE MEDICAL COMPANY, LLC
NPI 1043176696
Nurse Practitioner - Primary Care in Perryville, MO
About Olde Towne Medical Company, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLDE TOWNE MEDICAL COMPANY, LLC (NPI 1043176696) is a healthcare organization registered as a primary care in Perryville, Missouri and active in the NPI registry since December 2025. The organization lists Rachel Dibooglu, Fnp-c, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PERRYVILLE, MO 63775
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Olde Towne Medical Company, LLC's NPI number?
The NPI number for Olde Towne Medical Company, LLC is 1043176696. It was assigned to this organization in the NPPES registry on December 29, 2025.
Where is Olde Towne Medical Company, LLC located?
Olde Towne Medical Company, LLC is located at 27 W Saint Joseph St, Perryville, MO 63775. The listed phone number is (573) 768-2399.
What is Olde Towne Medical Company, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
When was this NPI record last updated?
The NPPES record for Olde Towne Medical Company, LLC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Olde Towne Medical Company, Llc · NPI 1043176696
Primary Care organization in Perryville, Missouri. Organization record, active in the CMS NPPES registry since December 29, 2025.
## Identity
- **NPI:** 1043176696 (Entity type: Organization)
- **Enumerated:** December 29, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Rachel Dibooglu, FNP-C
## Practice location
- **Address:** 27 W SAINT JOSEPH ST, Perryville, MO 63775-1344
- **Phone:** (573) 768-2399
## Record status
- **NPPES last updated:** December 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043176696) · Data from the CMS NPPES public registry.