Organization Active NPI

1St Family Clinic, LLC

  • Clinic/Center
  • Hornersville, MO
National Provider Identifier
1679781157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.