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Organization
IMMEDIATE CONVENIENT CARE LLC
Active
Organization
IMMEDIATE CONVENIENT CARE LLC
Active
Parent organization
SAINT FRANCIS HEALTHCARE SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT FRANCIS HEALTHCARE SYSTEM
Authorized official
MR. WILLIAM ANTHONY BALSANO (VP FINANCIAL AFFAIRS)
(573) 331-5228
Entity
Organization
Contact information
Practice address
1702 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2122
(573) 339-2000
Mailing address
1702 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2122
(573) 339-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/07/2009
Last updated
12/09/2009
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