Organization
FCC MEDICAL CLINICS LLC
Active
Parent organization
FAMILY COUNSELING CENTER, INC.
Other names
FCC Primary Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY COUNSELING CENTER, INC.
Authorized official
TRACY ELLIS (CCO)
(573) 888-5925
Entity
Organization
Contact information
Practice address
900 STATE ROUTE VV, KENNETT, MO 63857-3834
(573) 559-2365
(573) 559-2357
Mailing address
PO BOX 71, KENNETT, MO 63857-0071
(573) 559-2365
(573) 559-2357
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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