| Branson Clinic, Llc | |
|
110 Business Park Dr Ste C Branson MO 65616-7449 | |
| (417) 239-0125 | |
| (417) 239-0127 |
| Full Name | Branson Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 110 Business Park Dr Ste C, Branson, Missouri |
| Authorized Official Name and Position | Darren Allison (CEO, PRESIDENT) |
| Authorized Official Contact | 4172390125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branson Clinic, Llc 110 Business Park Dr Ste C Branson MO 65616-7449 Ph: (417) 239-0125 | Branson Clinic, Llc 110 Business Park Dr Ste C Branson MO 65616-7449 Ph: (417) 239-0125 |
| NPI Number | 1326576174 |
|---|---|
| Provider Enumeration Date | 05/24/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326576174 | NPI | - | NPPES |
| 507300903 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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