Provider Demographics
NPI:1497852628
Name:ASSOCIATES IN FAMILY CARE, LLC
Entity Type:Organization
Organization Name:ASSOCIATES IN FAMILY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:660-679-3149
Mailing Address - Street 1:200 W CHESTNUT ST
Mailing Address - Street 2:P.O. BOX 40
Mailing Address - City:BUTLER
Mailing Address - State:MO
Mailing Address - Zip Code:64730-1554
Mailing Address - Country:US
Mailing Address - Phone:660-679-3149
Mailing Address - Fax:660-679-5820
Practice Address - Street 1:200 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:MO
Practice Address - Zip Code:64730-1554
Practice Address - Country:US
Practice Address - Phone:660-679-3149
Practice Address - Fax:660-679-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOL9700000Medicare ID - Type UnspecifiedMEDICARE