Organization
FCC MEDICAL CLINICS LLC
Active
Parent organization
FAMILY COUNSELING CENTER, INC.
Other names
FCC Primary Care Clinic Poplar Bluff
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
3001 WARRIOR LN, POPLAR BLUFF, MO 63901-8685
(573) 686-1200
(573) 778-9492
Mailing address
PO BOX 71, KENNETT, MO 63857-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
05/04/2021
Last updated
07/12/2021
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