| Organization Name: | JM FAMILY ENTERPRISES, INC |
| NPI Number: | 1316337827 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ED BROWN (GROUP VICE PRESIDENT) |
| Mailing Address: | 3120 Rider Trl S Earth City |
| State: | MO US |
| Postal Code: | 630451518 |
| Phone Number: | 3147024036 |
| Fax Number: | 3147024156 |
| NPI Enumeration Date: | 02/04/2015 |
| NPI Last Update Date: | 02/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |