Organization
MIDWEST TOTAL URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDON BESAND (PRESIDENT/CEO)
(573) 768-6986
Entity
Organization
Contact information
Practice address
8 N FRENCH LN, PERRYVILLE, MO 63775-1577
(573) 768-6986
(949) 655-8621
Mailing address
8 N FRENCH LN, PERRYVILLE, MO 63775-1577
(573) 768-6986
(949) 655-8621
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063039311
NPPES
—
01
—
1154760031
NPPES
—
01
—
1841243565
NPPES
—
01
—
1841748084
NPPES
—
Enumeration date
08/17/2021
Last updated
05/05/2022
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