# BOLIVAR FAMILY CARE CENTER, LLC

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

## Provider details

- **NPI number:** 1043265986
- **Authorized official:** MR. WILLIAM FRANKLIN MARR (ADMINISTRATOR)
- **Authorized official phone:** (417) 326-6021

## Contact information

- **Practice address:** 1240 N BUTTERFIELD RD, BOLIVAR, MO 65613-3016
- **Practice address phone:** (417) 326-6021
- **Practice address fax:** (417) 326-6347
- **Mailing address:** 1240 N BUTTERFIELD RD, BOLIVAR, MO 65613-3016
- **Mailing address phone:** (417) 326-6021
- **Mailing address fax:** (417) 326-6347

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/22/2020