# IMMEDIATE CONVENIENT CARE-PERRYVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAINT FRANCIS HEALTHCARE SYSTEMS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851682025
- **Legal business name:** SAINT FRANCIS HEALTHCARE SYSTEMS
- **Authorized official:** WILLIAM ANTHONY BALSANO (VP FINANCIAL AFFAIRS)
- **Authorized official phone:** (573) 331-5228

## Contact information

- **Practice address:** 1508 EDGEMONT BLVD, PERRYVILLE, MO 63775-1231
- **Practice address phone:** (573) 517-7555
- **Practice address fax:** (573) 517-7556
- **Mailing address:** 1702 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2122
- **Mailing address phone:** (573) 339-2000
- **Mailing address fax:** (573) 339-1876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2011
- **Last updated:** 04/22/2011