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

Prime Care Family Medicine, Inc

Organization Family Medicine Physician · NPI 1487908117

Prime Care Family Medicine, Inc provides Family Medicine Physician services in Neosho, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

117 E Hickory St
Neosho, MO 64850 Not confirmed with CMS for 13 years — call before visiting
Phone: (417) 451-4545
Fax: (417) 451-4546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 110888 (MO)

Record details

NPI number1487908117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Pendergrass — Owner · (417) 451-4545
NPI enumeratedNovember 2, 2012
Last updated in NPPESNovember 2, 2012
Mailing addressPo Box 220, Neosho, MO 64850-0220

Other providers in Neosho