NPI
Broadway Family Clinic Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2018-01-22
- Last updated
- 2023-08-08
Specialties
Licenses
- License MO
- 126560
- License MO
- 2014044250
Location
- Practice location
- 612 State Highway 25 S
- City
- Bloomfield MO
- Postal code
- 63825-9566
- Phone
- (573) 803-3995
Organization contact
- Name
- MELISSA JARRELL
- Title
- Office/Billing Supervisor
- Phone
- 5735687377
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Bloomfield, MO. 31 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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