# KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
- **Other names:** Family Health Center of Edina
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164776944
- **Legal business name:** KIRKSVILLE MISSOURI HOSPITAL COMPANY LLC
- **Authorized official:** BRIAN PEOPLES (VICE-PRESIDENT)
- **Authorized official phone:** (615) 465-7585

## Contact information

- **Practice address:** 205 S 5TH ST, EDINA, MO 63537-1526
- **Practice address phone:** (660) 397-2100
- **Practice address fax:** (660) 297-3292
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022
- **Mailing address phone:** (615) 465-3000
- **Mailing address fax:** (615) 465-3007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | MO | Yes |
| 207R00000X | Internal Medicine Physician | — | MO | — |

## Other

- **Enumeration date:** 11/01/2012
- **Last updated:** 12/04/2012