# BURTON CREEK RURAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003330713
- **Authorized official:** MRS. THERESA CHRISTINE GREGG MHA (CEO)
- **Authorized official phone:** (417) 256-2111

## Contact information

- **Practice address:** 805 N KENTUCKY AVE, WEST PLAINS, MO 65775-2022
- **Practice address phone:** (417) 256-2111
- **Practice address fax:** (417) 256-4858
- **Mailing address:** 805 N KENTUCKY AVE, WEST PLAINS, MO 65775-2022
- **Mailing address phone:** (417) 256-2111
- **Mailing address fax:** (417) 256-4858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 05/20/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 599022308 | — | MO |