# FAMILY HEALTH MEDICAL PRACTICE LLC

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

## Provider details

- **NPI number:** 1861405599
- **Authorized official:** VICKI L FOLSOM DO (OWNER)
- **Authorized official phone:** (660) 259-2240

## Contact information

- **Practice address:** 825 S HIGHWAY 13, LEXINGTON, MO 64067-1515
- **Practice address phone:** (660) 259-2240
- **Practice address fax:** (660) 259-2250
- **Mailing address:** 825 S HIGHWAY 13, LEXINGTON, MO 64067-1515
- **Mailing address phone:** (660) 259-2240
- **Mailing address fax:** (660) 259-2250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 11/11/2010