Provider Demographics
NPI:1821270620
Name:BARNES MEDICAL CLINIC PC
Entity Type:Organization
Organization Name:BARNES MEDICAL CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:573-365-7756
Mailing Address - Street 1:P.O. BOX 672
Mailing Address - Street 2:121 CROSSINGS WEST DR #5
Mailing Address - City:LAKE OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65049
Mailing Address - Country:US
Mailing Address - Phone:573-964-6703
Mailing Address - Fax:573-964-6793
Practice Address - Street 1:121 CROSSINGS WEST DRIVE
Practice Address - Street 2:#5
Practice Address - City:LAKE OZARK
Practice Address - State:MO
Practice Address - Zip Code:65049
Practice Address - Country:US
Practice Address - Phone:573-964-6703
Practice Address - Fax:573-964-6793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR3A38261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center