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
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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