Active NPI
1St Family Clinic, LLC
- Clinic/Center
- Hornersville, MO
National Provider Identifier
1679781157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- 1ST FAMILY CLINIC, LLC
- Practice address
- 207 Bessie Street
Hornersville, MO 63855-9867 - Phone
- (573) 575-4416
- Fax
- (573) 695-2012
- NPI assigned
- May 18, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah Kay Crosskno
- Title
- Owner, Business Manager
- Phone
- (573) 575-4416
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
207 Bessie Street
Hornersville, MO 63855-9867
Mailing address
207 Bessie Street
Hornersville, MO 63855-9867
Phone (573) 575-4416
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Hayti, MO
- NPI 1477660637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679781157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 BESSIE STREET",
"city": "HORNERSVILLE",
"state": "MO",
"postal_code": "638559867",
"telephone_number": "573-575-4416",
"fax_number": "573-695-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 BESSIE STREET",
"city": "HORNERSVILLE",
"state": "MO",
"postal_code": "638559867",
"telephone_number": "573-575-4416",
"fax_number": "573-695-2012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1ST FAMILY CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CROSSKNO",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER, BUSINESS MANAGER",
"authorized_official_telephone_number": "573-575-4416",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hornersville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.