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TRI COUNTY MEDICAL CLINIC P C
NPI 1639317050
Clinic/Center - Primary Care in Sturgeon, MO

Active since January 22, 2009
208 N OGDEN ST, BOX 367, STURGEON, MO 65284(573) 687-3411(573) 687-3328 Get Directions Write a Review

NPPES record last updated: January 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tri County Medical Clinic P C NPPES

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

TRI COUNTY MEDICAL CLINIC P C (NPI 1639317050) is a healthcare organization registered as a primary care in Sturgeon, Missouri and active in the NPI registry since January 2009. The organization lists Alan M Weaver, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1639317050
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTRI COUNTY MEDICAL CLINIC P C
Location Address208 N OGDEN ST, BOX 367Sturgeon, MO 65284-9217
Mailing Address6601 W Thornhill RdClark, MO 65243-9381 · (573) 687-3411 · Fax (573) 687-3328
Phone(573) 687-3411
Fax(573) 687-3328
Organization SubpartNo
Authorized OfficialAlan M WeaverMedical Director · (573) 687-3411
Enumeration DateJanuary 22, 2009
✔ NPI 1639317050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MO · R8G92
208 N OGDEN ST, Sturgeon, MO 65284
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Other Identifiers 3

Medicare UPINA14027MO
Medicaid242429009MO
Medicare PIN94626MO

Other Providers at the Same Location NPPES 2

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

MR. ALAN M WEAVER D.O.
Family Medicine
208 N OGDEN ST
STURGEON, MO 65284
Boone County (573) 687-3411
STURGEON MEDICAL CLINIC PC
Family Medicine
208 N OGDEN ST
STURGEON, MO 65284
Boone County (573) 687-2019

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 Tri County Medical Clinic P C's NPI number?

The NPI number for Tri County Medical Clinic P C is 1639317050. It was assigned to this organization in the NPPES registry on January 22, 2009.

Where is Tri County Medical Clinic P C located?

Tri County Medical Clinic P C is located at 208 N Ogden St Box 367, Sturgeon, MO 65284. The listed phone number is (573) 687-3411.

What is Tri County Medical Clinic P C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Tri County Medical Clinic P C was last updated on January 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.