# CAPE FAMILY MEDICAL CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cape Family Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720359243
- **Authorized official:** JEDEDIAH WEBSTER (OWNER)
- **Authorized official phone:** (573) 332-7992

## Contact information

- **Practice address:** 24 N SPRIGG ST, CAPE GIRARDEAU, MO 63701-5526
- **Practice address phone:** (573) 332-7992
- **Practice address fax:** (573) 332-7998
- **Mailing address:** 24 N SPRIGG ST, CAPE GIRARDEAU, MO 63701-5733
- **Mailing address phone:** (573) 332-7992
- **Mailing address fax:** (573) 332-7998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | MO | Yes |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | NULL | — |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 01/13/2012
- **Last updated:** 05/21/2026
