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CARUTHERSVILLE CLINIC
NPI 1487829222
Family Medicine in Caruthersville, MO

Active since April 23, 2008
412 WARD AVE, CARUTHERSVILLE, MO 63830(579) 333-0033(573) 333-2522 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Caruthersville Clinic NPPES

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

CARUTHERSVILLE CLINIC (NPI 1487829222) is a healthcare organization registered as a family medicine in Caruthersville, Missouri and active in the NPI registry since April 2008. The organization lists Amy D Ledbetter, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1487829222
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARUTHERSVILLE CLINIC
Location Address412 WARD AVECaruthersville, MO 63830-1451
Mailing AddressPo Box 881Caruthersville, MO 63830-0881 · (579) 333-0033 · Fax (573) 333-2522
Phone(579) 333-0033
Fax(573) 333-2522
Organization SubpartNo
Authorized OfficialAmy D LedbetterDirector Of Operations · (573) 651-4488
Enumeration DateApril 23, 2008
✔ NPI 1487829222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

412 WARD AVE, Caruthersville, MO 63830
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Other Identifiers 1

Medicaid507402907MO

Group Practice 1

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

Other Providers at the Same Location NPPES

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

DOUGLAS FITZWATER
Family Medicine
412 WARD AVE
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 333-0033

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 Caruthersville Clinic's NPI number?

The NPI number for Caruthersville Clinic is 1487829222. It was assigned to this organization in the NPPES registry on April 23, 2008.

Where is Caruthersville Clinic located?

Caruthersville Clinic is located at 412 Ward Ave, Caruthersville, MO 63830. The listed phone number is (579) 333-0033.

What is Caruthersville Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Caruthersville Clinic was last updated on April 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.