# FAMILY MEDICAL WALK-IN CLINIC INC

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

## Provider details

- **NPI number:** 1417928094
- **Authorized official:** DR. DANIEL J BURKE D.O. (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (417) 890-5550

## Contact information

- **Practice address:** 103 N OLD WILDERNESS RD, NIXA, MO 65714-9057
- **Practice address phone:** (417) 890-5550
- **Practice address fax:** (417) 351-6121
- **Mailing address:** 4049 S CAMPBELL AVE, SPRINGFIELD, MO 65807-5303
- **Mailing address phone:** (417) 890-5550
- **Mailing address fax:** (417) 889-6898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | R5B57 | MO | Yes |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 03/30/2018