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BOONE PHYSICIAN SERVICES, LLC
NPI 1619648532
Clinic/Center - Rural Health in Centralia, MO

Active since September 21, 2021
1021 E HIGHWAY 22, CENTRALIA, MO 65240(573) 682-5588(573) 682-1539 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boone Physician Services, Llc NPPES

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

BOONE PHYSICIAN SERVICES, LLC (NPI 1619648532), doing business as Centralia Family Health Clinic, is a healthcare organization registered as a rural health in Centralia, Missouri and active in the NPI registry since September 2021. The organization lists Brian Lee Winn, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1619648532
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBOONE PHYSICIAN SERVICES, LLC
Location Address1021 E HIGHWAY 22Centralia, MO 65240-1183
Mailing Address1021 E Highway 22Centralia, MO 65240-1183 · (573) 682-5588 · Fax (573) 682-1539
Phone(573) 682-5588
Fax(573) 682-1539
Organization SubpartNo
Authorized OfficialBrian Lee WinnDirector Of Finance · (573) 815-3269
Enumeration DateSeptember 21, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1619648532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1021 E HIGHWAY 22, Centralia, MO 65240
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Other Names 1

Doing Business AsCentralia Family Health Clinic

Other Providers at the Same Location NPPES 7

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

REBECCA B KELLEY M.D.
Family Medicine
1021 E HIGHWAY 22
CENTRALIA, MO 65240
Boone County (573) 682-5588
DR. CURTIS DAVID KING M.D.
Family Medicine
1021 E HIGHWAY 22
CENTRALIA, MO 65240
Boone County (573) 682-5588
PHYSICIAN GROUPS LC
Clinic/Center (Rural Health)
1021 E HIGHWAY 22
CENTRALIA, MO 65240
Boone County (573) 682-5580
DR. CATHY JO CODY M.D.
Family Medicine
1021 E HIGHWAY 22
CENTRALIA, MO 65240
Boone County (573) 682-5580
PATRICIA WATSON-ADAMS
Nurse Practitioner
1021 E HIGHWAY 22
CENTRALIA, MO 65240
Boone County (573) 682-5588
CENTRALIA FAMILY HEALTH, PC
Family Medicine
1021 E HIGHWAY 22
CENTRALIA, MO 65240
Boone County (573) 682-5588
ANDREA YOUNG WILLER FNP
Nurse Practitioner (Family)
1021 E HIGHWAY 22
CENTRALIA, MO 65240
Boone County (573) 682-5580

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 Boone Physician Services, LLC's NPI number?

The NPI number for Boone Physician Services, LLC is 1619648532. It was assigned to this organization in the NPPES registry on September 21, 2021. The provider is doing business as Centralia Family Health Clinic.

Where is Boone Physician Services, LLC located?

Boone Physician Services, LLC is located at 1021 E Highway 22, Centralia, MO 65240. The listed phone number is (573) 682-5588.

What is Boone Physician Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Boone Physician Services, LLC was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.