Organization
BRANSON CLINIC, LLC
Active
Parent organization
BRANSON CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRANSON CLINIC, LLC
Authorized official
DARREN ALLISON (CEO, PRESIDENT)
(417) 239-0125
Entity
Organization
Contact information
Practice address
110 BUSINESS PARK DR STE C, BRANSON, MO 65616-7449
(417) 239-0125
(417) 239-0127
Mailing address
110 BUSINESS PARK DR STE C, BRANSON, MO 65616-7449
(417) 239-0125
(417) 239-0127
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507300903
—
MO
Enumeration date
05/24/2017
Last updated
07/21/2022
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