# MANSFIELD CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MANSFIELD CLINIC, INC.
- **Other names:** PRIME CARE OF AVA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285687509
- **Legal business name:** MANSFIELD CLINIC, INC.
- **Authorized official:** DR. KENNETH H DUGAN M.D. (VICE PRESIDENT)
- **Authorized official phone:** (417) 924-3066

## Contact information

- **Practice address:** 120 SW 2ND AVENUE, AVA, MO 65608
- **Practice address phone:** (417) 683-6790
- **Practice address fax:** (417) 683-6770
- **Mailing address:** PO BOX 108, MANSFIELD, MO 65704-0108
- **Mailing address phone:** (417) 924-3066
- **Mailing address fax:** (417) 924-3925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 04/21/2011