Organization
SAINT FRANCIS MEDICAL CENTER
Active
Parent organization
CHARLESTON FAMILY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLESTON FAMILY CARE
Authorized official
RENEE C WILKERSON (CREDENTIALING)
(573) 331-5583
Entity
Organization
Contact information
Practice address
400 S MAIN ST, CHARLESTON, MO 63834-1644
(573) 683-3739
(573) 683-4956
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-3000
(573) 331-5073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
05/08/2018
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