Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Country Care Medical Clinic and Pharmacy, LLC

Organization Family Medicine Physician · NPI 1508906165

Country Care Medical Clinic and Pharmacy, LLC provides Family Medicine Physician services in Neosho, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1504 N Business 71
Neosho, MO 64850-1975
Phone: (417) 455-2883
Fax: (417) 455-9358
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 102015 (MO)

Record details

NPI number1508906165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Gallemore — Clinic Manager · (417) 455-2883
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1504 N Business 71, Neosho, MO 64850-1975

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