FAMILY MEDICAL WALK-IN CLINIC INC (NPI# 1417928094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417928094 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL WALK-IN CLINIC INC |
| Practice Address |
103 N Old Wilderness Rd Nixa MO 65714-9057 |
| Mailing Address |
4049 S Campbell Ave Springfield MO 65807-5303 |
| Practice Telephone | 4178905550 |
| Practice Fax Number | 4173516121 |
| Mailing Telephone | 4178905550 |
| Mailing Fax Number | 4178896898 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2018-03-30 |
| Authorized Official Name | DR. DANIEL J BURKE (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4178905550 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
R5B57 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 595414103 | 05 |
| Street Address |
103 N OLD WILDERNESS RD |
| City | NIXA |
| State | MO |
| Zip Code | 65714-9057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1568941144 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 105 S Ridgecrest Ave Ste 2, Nixa, MO 65714 | 2018-08-14 |
| 1942706692 | Phillip Marshal Guison | Chiropractor | 696 W Mount Vernon St, Nixa, MO 65714 | 2018-04-02 |
| 1831561554 | Gray Psychological Services LLC | Psychologist | 402 B W. Mt. Vernon Street, Ste 337, Nixa, MO 65714 | 2015-10-21 |
| 1053787317 | Nicole Blanchard | Speech-Language Pathologist | 1801 Quail Ln, Nixa, MO 65714 | 2015-08-20 |
| 1629410766 | Danielle Ranae Lee | Nurse Practitioner | 940 W Mount Vernon St Ste 210, Nixa, MO 65714 | 2013-07-17 |
| 1205197373 | Kelly Dove Dove | Dentist | 725 W Mt. Vernon St., Nixa, MO 65714 | 2012-06-05 |
| 1831473818 | Amy Susan Wells | Pharmacist | 106 N Massey, Nixa, MO 65714 | 2011-10-07 |
| 1013207612 | Ashley E Pritchett | Counselor | 402b Mt Vernon, #122, Nixa, MO 65714 | 2011-04-15 |
| 1760632400 | Jennifer Lynn Maloney | Counselor | 611a W. Mount Vernon Street, Nixa, MO 65714 | 2008-09-30 |
| Find all providers in zip 65714 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782121 | Veterans Advantage Urgent Care,inc | Clinic/Center | 1901 Washington Ave, Saint Louis, MO 63103-1623 | 2020-08-25 |
| 1356968432 | Total Access Urgent Care, PC | Clinic/Center | 1001 Southern Ridge Ln, Lake Saint Louis, MO 63367-4000 | 2020-07-06 |
| 1992342661 | St. Louis General Hospital | Clinic/Center | 916 Olive Street, St Louis, MO 63101 | 2019-12-02 |
| 1043855802 | Total Access Urgent Care, PC | Clinic/Center | 915 N Kirkwood Rd, Kirkwood, MO 63122-2665 | 2019-11-15 |
| 1194368019 | Total Access Urgent Care, PC | Clinic/Center | 408 Brothers Dr, Festus, MO 63028-2139 | 2019-10-23 |
| 1073171260 | Total Access Urgent Care, PC | Clinic/Center | 9538 Gravois Rd, Affton, MO 63123-4558 | 2019-06-03 |
| 1699330324 | Urgent Care of Missouri | Clinic/Center | 1721 La Questa Dr Ste 5, Neosho, MO 64850-9000 | 2019-05-08 |
| 1760945059 | Total Access Urgent Care, PC | Clinic/Center | 600 Mid Rivers Mall Dr, Saint Peters, MO 63376-2460 | 2019-04-12 |
| 1770042954 | Total Access Urgent Care, PC | Clinic/Center | 6940 S Lindbergh Blvd, Saint Louis, MO 63125-4219 | 2019-03-18 |
| 1821553918 | Total Access Urgent Care, PC | Clinic/Center | 2501 Clarkson Rd, Chesterfield, MO 63017-7398 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.