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FCC MEDICAL CLINICS LLC
NPI 1063081263
Clinic/Center in Kennett, MO

Active since June 22, 2021
900 STATE ROUTE VV, KENNETT, MO 63857(573) 559-2365(573) 559-2357 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fcc Medical Clinics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FCC MEDICAL CLINICS LLC (NPI 1063081263), doing business as Fcc Primary Care Clinic, is a healthcare organization registered as a clinic/center in Kennett, Missouri and active in the NPI registry since June 2021. The organization lists Tracy Ellis, Cco, as its authorized official.

NPPES Registry Identity

NPI1063081263
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFCC MEDICAL CLINICS LLC
Location Address900 STATE ROUTE VVKennett, MO 63857-3834
Mailing AddressPo Box 71Kennett, MO 63857-0071 · (573) 559-2365 · Fax (573) 559-2357
Phone(573) 559-2365
Fax(573) 559-2357
Organization SubpartYesParent: Family Counseling Center, Inc
Authorized OfficialTracy EllisCco · (573) 888-5925
Enumeration DateJune 22, 2021
NPPES CertifiedJune 3, 2021
✔ NPI 1063081263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
900 STATE ROUTE VV, Kennett, MO 63857
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Other Names 1

Doing Business AsFcc Primary Care Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FCC MEDICAL CLINICS LLC
Clinic/Center (Rural Health)
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
MRS. SHARON ANN PAYNE FNP-C
Nurse Practitioner (Family)
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
MICHELLE RASBERRY
Technician
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
BRITTANI DAWN BROWN
Nurse's Aide
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
AMANDA RENEA STATLER
Licensed Practical Nurse
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
DEZZIRAEE N NIXON LPN
Licensed Practical Nurse
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
KYLE AUSTIN DAUGHERTY
Community Health Worker
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
WHITNEY JO BRADFORD APRN
Nurse Practitioner (Family)
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365

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 Fcc Medical Clinics LLC's NPI number?

The NPI number for Fcc Medical Clinics LLC is 1063081263. It was assigned to this organization in the NPPES registry on June 22, 2021. The provider is doing business as FCC Primary Care Clinic.

Where is Fcc Medical Clinics LLC located?

Fcc Medical Clinics LLC is located at 900 State Route Vv, Kennett, MO 63857. The listed phone number is (573) 559-2365.

What is Fcc Medical Clinics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Fcc Medical Clinics LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Fcc Medical Clinics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fcc Medical Clinics LLC was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.