# ADRIAN CLINIC, LLC

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

## Provider details

- **NPI number:** 1538187711
- **Authorized official:** MS. LAURA THIEM FNP-BC (OWNER)
- **Authorized official phone:** (816) 297-8700

## Contact information

- **Practice address:** 57 EAST MAIN STREET, ADRIAN, MO 64720
- **Practice address phone:** (816) 297-8700
- **Practice address fax:** (816) 297-8717
- **Mailing address:** PO BOX 7, ADRIAN, MO 64720-0007
- **Mailing address phone:** (816) 297-8700
- **Mailing address fax:** (816) 297-8717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |
| 363LF0000X | Family Nurse Practitioner | 138659 | MO | — |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 06/25/2008