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NPI Code Detail

MEDICARE: FOREST CITY FAMILY PRACTICE LLC

MEDICARE: FOREST CITY FAMILY PRACTICE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326109885
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOREST CITY FAMILY PRACTICE LLC
Provider Business Mailing Address
First Line : 1000 N JEFFERSON ST
Second Line :
City : SAINT JAMES
State : MO
Zip : 65559-1078
Country : US
Telephone Number : 573-265-8840
Fax Number : 573-265-8884
Provider Business Practice Location Address
First Line : 1000 N JEFFERSON ST
Second Line :
City : SAINT JAMES
State : MO
Zip : 65559-1078
Country : US
Telephone Number : 573-265-8840
Fax Number : 573-265-8884
Authorized Official
Title or Position : OWNER
Name : MR. HUGH A SCHUETZ
Credential : DO
Telephone Number : 573-265-8840
Provider Enumeration Date : 12/12/2006
Last Update Date : 12/08/2009

Similar Medicare Providers

1275508368 — DR. HUGH A SCHUETZ D.O.
Practice Location Address:
1000 N JEFFERSON ST
SAINT JAMES, MO
65559-1078
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Practice Fax: 573-265-8884
1255492575 — FOREST CITY FAMILY PRACTICE LLC
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1447755848 — TIFFANY GAIL BLAND
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1790410751 — JORDAN MARIE PRIEST DNP, FNP-BC
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1750158630 — MEGAN MCBRIDE FNP
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Directions to “FOREST CITY FAMILY PRACTICE LLC ” Practice Location

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