JIBBEN MEDICAL CLINIC – NPI #1225268618
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JIBBEN MEDICAL CLINIC is a provider located in DEXTER, MO. NPPES has assigned the NPI number 1225268618 to JIBBEN MEDICAL CLINIC on July 20, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JIBBEN MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is PRACTICE TEE, LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Jan 07, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JIBBEN MEDICAL CLINIC below.

NPI Profile for
PRACTICE TEE, LLC

NPI Number
1225268618
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRACTICE TEE, LLC
Doing Business As (dba): JIBBEN MEDICAL CLINIC
Primary location
1523 W BUSINESS HWY 60
DEXTER, MO 63841
Phone: (573) 624-8447 Fax:
Mailing address
PO BOX 472
DEXTER, MO 63841-0472
Phone: (573) 624-8447 Fax:
Organization Subpart
No
Authorized Official
ROBERT JIBBEN
OWNER
Phone: (573) 624-8447
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.