Organization
COMPASSIONATE CARE LLC
Active
Other names
Family Preference Health Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN Y CHAPMAN FNP (FNP OWNER)
(573) 471-1514
Entity
Organization
Contact information
Practice address
201 WEST MAIN, MATTHEWS, MO 63867
(573) 471-1514
(573) 471-1517
Mailing address
PO BOX 358, MATTHEWS, MO 63867-0358
(573) 471-1514
(573) 471-1517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014714
MEDICARE PART B
MO
Enumeration date
09/08/2005
Last updated
09/06/2007
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