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CARROLL COUNTY MEDICAL CLINIC
NPI 1366752768
Family Medicine in Carrollton, MO

Active since October 19, 2010
1502 N JEFFERSON ST, ST SUITE A B, CARROLLTON, MO 64633(660) 542-3865(660) 542-0336 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carroll County Medical Clinic NPPES

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

CARROLL COUNTY MEDICAL CLINIC (NPI 1366752768) is a healthcare organization registered as a family medicine in Carrollton, Missouri and active in the NPI registry since October 2010. The organization lists Jerry Dover, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366752768
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARROLL COUNTY MEDICAL CLINIC
Location Address1502 N JEFFERSON ST, ST SUITE A BCarrollton, MO 64633-1948
Mailing Address1502 N Jefferson St, Suite A BCarrollton, MO 64633-1948 · (660) 542-3865 · Fax (660) 542-0336
Phone(660) 542-3865
Fax(660) 542-0336
Organization SubpartNo
Authorized OfficialJerry DoverCeo · (660) 542-1695
Enumeration DateOctober 19, 2010
✔ NPI 1366752768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MO · MD106594✔ Licensed in MO · MD109202
Definition

Family 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.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD106594 (MO)
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License MD109202 (MO)
1502 N JEFFERSON ST, Carrollton, MO 64633
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

GRAZYNA E DYMEK MD
Pediatrics
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-3965
MADELINE MARIE GRIDER P.T.
Physical Therapist
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1664
DR. MARVIN E ROSS DO
Family Medicine
1502 N JEFFERSON ST, JEFFERSON MEDICAL GROUP /ATTN: JEAN STEELE
CARROLLTON, MO 64633
Carroll County (660) 542-9998
ESS OF CARROLL COUNTY LLC
Emergency Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
CARROLL CNTY MEM HOSP PHARMACY INC
Pharmacy (Institutional Pharmacy)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
HCC OF CARROLL COUNTY LLC
Internal Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
CARROLL COUNTY MEMORIAL HOSPITAL
Home Health
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-3301
JEFFERSON MEDICAL GROUP
Family Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-9998
CARROLL COUNTY MEMORIAL HOSPITAL
General Acute Care Hospital (Critical Access)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
JEFFERSON MEDICAL GROUP
Clinic/Center (Rural Health)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-9998
JONNA HICKCOX RECHTERMAN APRN FNP
Nurse Practitioner (Family)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
CARROLL COUNTY HOSPITAL PHTYSICIANS
General Acute Care Hospital (Critical Access)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
STEFANIE LEANN KISSICK LCSW
Social Worker (Clinical)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
BRIAN BREE M.D.
Internal Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
ANDREW DOUGLAS HORINE D.O.
Family Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
HEIDI L LEIMKUEHLER APRN, FNP-C
Nurse Practitioner (Family)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
TIMOTHY NEIL REID MD
Family Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
TANYA WADDLE LAND APRN - NP, FNP-C
Nurse Practitioner (Family)
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695
RICHARD LEE SMITH M.D.
Family Medicine
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-9998
DR. GREGORY WILLIAM HUBBARD D.O.
Orthopaedic Surgery
1502 N JEFFERSON ST
CARROLLTON, MO 64633
Carroll County (660) 542-1695

Frequently Asked Questions

What is CARROLL COUNTY MEDICAL CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1366752768, enumerated as an "organization" on October 19, 2010.

Where is the provider located?

The provider is located at 1502 N JEFFERSON ST ST SUITE A B CARROLLTON, MO 64633 and the phone number is (660) 542-3865.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.