Provider Demographics
NPI:1629045349
Name:ARGYLE FAMILY HEALTH CLINIC, INC
Entity Type:Organization
Organization Name:ARGYLE FAMILY HEALTH CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUECKEHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-635-3148
Mailing Address - Street 1:606 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-3279
Mailing Address - Country:US
Mailing Address - Phone:573-635-3148
Mailing Address - Fax:573-636-9350
Practice Address - Street 1:606 E HIGH ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-3279
Practice Address - Country:US
Practice Address - Phone:573-635-3148
Practice Address - Fax:573-636-9350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty