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Flat Creek Enterprises, Llc
Medical Specialty Clinic/Center in Springfield, Missouri
NPI 1194908632

Flat Creek Enterprises, Llc is a Medical Specialty Clinic/Center based in Springfield, MO and is specialized in Medical Specialty. Flat Creek Enterprises, Llc practices in Springfield, MO. The NPI Number for Flat Creek Enterprises, Llc is 1194908632 and holds a License No. 114747 (Missouri).

The current practice location address for Flat Creek Enterprises, Llc is 1410 E Kearney St, Springfield, MO and can be reached out via phone at 417-773-0520.

Location: 1410 E Kearney St, Springfield, MO, 65801-8235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194908632
Provider Name
Flat Creek Enterprises, Llc
Credential
Provider Entity Type
Organization
Address
1410 E Kearney St, Springfield, MO, 65801-8235
Phone Number
417-773-0520
Fax Number
Provider Enumeration Date
12/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
505488601 05 MO
DG9102 01 MO RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1410 E Kearney St
City
Springfield
State
Missouri
Zip
65803-4102
Phone Number
417-773-0520
Fax Number
person
Provider Business Mailing Address Details
Address
1410 E Kearney St
City
Springfield
State
Missouri
Zip
65803-4102
Phone Number
417-773-0520
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
114747 (Missouri)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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