Organization
COMPREHENSIVE FAMILY HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN E. MILLER (OFFICE MANAGER)
(573) 561-4814
Entity
Organization
Contact information
Practice address
142 S WINCHESTER ST, BENTON, MO 63736-0000
(573) 335-1344
Mailing address
PO BOX 1396, CAPE GIRARDEAU, MO 63702-1396
(573) 335-1344
(573) 335-3992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
100630
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245415389
—
MO
01
—
175986
HEALTHLINK
—
01
—
221260
BCBS
MO
Enumeration date
01/08/2008
Last updated
08/22/2017
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