Organization
FAMILY HEALTH MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY D LEDBETTER (DIRECTOR OF OPERATIONS)
(573) 651-4488
Entity
Organization
Contact information
Practice address
825 S HIGHWAY 13, LEXINGTON, MO 64067-1515
(660) 259-2240
(660) 259-2250
Mailing address
PO BOX 817, CAPE GIRARDEAU, MO 63702-0817
(660) 259-2240
(660) 259-2250
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509392007
—
MO
Enumeration date
04/23/2008
Last updated
04/23/2008
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