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

Q: What is Carroll County Medical Clinic's NPI number?

The NPI number for Carroll County Medical Clinic is 1366752768. It was assigned to this organization in the NPPES registry on October 19, 2010.

Q: What is Carroll County Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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: August 16, 2026.

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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 NPPES 20

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

ESS OF CARROLL COUNTY LLC

Emergency Medicine