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Organization

IMMEDIATE CONVENIENT CARE-PERRYVILLE, LLC

Active
Parent organization
SAINT FRANCIS HEALTHCARE SYSTEMS
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAINT FRANCIS HEALTHCARE SYSTEMS
Authorized official
WILLIAM ANTHONY BALSANO (VP FINANCIAL AFFAIRS)
(573) 331-5228
Entity
Organization

Contact information

Practice address
1508 EDGEMONT BLVD, PERRYVILLE, MO 63775-1231
(573) 517-7555
(573) 517-7556
Mailing address
1702 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701-2122
(573) 339-2000
(573) 339-1876

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/22/2011
Last updated
04/22/2011
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