Organization
RANDY S. BUCKLES, DO, FAMILY HEALTH CARE, LLC
Active
Other names
Family Health Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN BUCKLES (OFFICE MANAGER)
(816) 676-1300
Entity
Organization
Contact information
Practice address
220 SOUTH WOODBINE RD, SAINT JOSEPH, MO 64506
(816) 676-1300
(816) 676-1400
Mailing address
220 SOUTH WOODBINE RD, SAINT JOSEPH, MO 64506
(816) 676-1300
(816) 676-1400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001359400
CHP ID
MO
01
—
2326850
AETNA PROV ID
MO
01
—
27020012
BCKC GRP ID
MO
01
—
458828
HEALTHLINK GRP ID
MO
01
—
458858
FREEDOM/HEALTHLINK ID
MO
01
—
499640064
WPS/WEST REG. CLAIMS ID
MO
05
—
505804906
—
MO
01
—
CH5327
RAILROAD RETIREMENT BOARD
MO
Enumeration date
08/04/2006
Last updated
12/29/2009
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