Organization
WINDSOR FAMILY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE E WINDSOR D.O. (PHYSICIAN)
(660) 647-2111
Entity
Organization
Contact information
Practice address
114 N MAIN ST, WINDSOR, MO 65360-1355
(660) 647-2111
(660) 647-2110
Mailing address
PO BOX 107, WINDSOR, MO 65360-0107
(660) 647-2111
(660) 647-2110
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26D0721157
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000328280
FAMILY HEALTH PARTNERS
MO
01
—
05245011
BLUE CROSS BLUE SHIELD
MO
01
—
1184625139
TYPE 1 NPI
MO
05
—
240252908
—
MO
01
—
33420
HCUSA
MO
01
—
7904
MERCY CARE PLUS
MO
01
—
P00456003
RAIL ROAD MEDICARE
MO
Enumeration date
06/25/2008
Last updated
06/25/2008
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