# FCC MEDICAL CLINICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY COUNSELING CENTER, INC
- **Other names:** FCC Primary Care Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063081263
- **Legal business name:** FAMILY COUNSELING CENTER, INC
- **Authorized official:** TRACY ELLIS (CCO)
- **Authorized official phone:** (573) 888-5925

## Contact information

- **Practice address:** 900 STATE ROUTE VV, KENNETT, MO 63857-3834
- **Practice address phone:** (573) 559-2365
- **Practice address fax:** (573) 559-2357
- **Mailing address:** PO BOX 71, KENNETT, MO 63857-0071
- **Mailing address phone:** (573) 559-2365
- **Mailing address fax:** (573) 559-2357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2021
- **Last updated:** 06/22/2021