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Organization
SAINT FRANCIS MEDICAL CENTER
Active
Organization
SAINT FRANCIS MEDICAL CENTER
Active
Parent organization
CHARLESTON FAMILY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLESTON FAMILY CARE
Authorized official
RENEE C WILKERSON (CREDENTIALING)
(573) 331-5583
Entity
Organization
Contact information
Practice address
400 S MAIN ST, CHARLESTON, MO 63834-1644
(573) 683-3739
(573) 683-4956
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-3000
(573) 331-5073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
05/08/2018
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