| NPI | 1467689398 |
|---|---|
| Doing Business As | FAMILY CARE CLINIC CHESTNUT |
| Entity Type | Organization |
| Authorized Contact | GREGORY WEAVER CEO 660-200-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 205-49) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 29119) |
| 261QR1300X Clinic/Center, Rural Health (Licence: MO 268639) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2023-08-15 |