Organization
JACKSON FAMILY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETT D ASHER DO (OWNER)
(573) 243-8408
Entity
Organization
Contact information
Practice address
545 BROADRIDGE, JACKSON, MO 63755
(573) 243-8408
(573) 243-0445
Mailing address
545 BROADRIDGE, JACKSON, MO 63755
(573) 243-8408
(573) 243-0445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505190207
—
MO
01
—
CO9028
RR MEDICARE
MO
Enumeration date
03/19/2007
Last updated
04/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us