# CREATIVE ENTERPRISES OF CLARENCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carol Timmons Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598017550
- **Authorized official:** JOHN D TIMMONS (OWNER)
- **Authorized official phone:** (660) 651-6961

## Contact information

- **Practice address:** 101 N CENTER ST, CLARENCE, MO 63437-1701
- **Practice address phone:** (660) 699-2240
- **Practice address fax:** (660) 699-2243
- **Mailing address:** 210 S SHELBY ST, CLARENCE, MO 63437-2105
- **Mailing address phone:** (660) 651-7350

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2012
- **Last updated:** 10/15/2012