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Carroll County Medical Clinic

Family Medicine Physician in Carrollton, MO · enumerated 2010 · authorized official Jerry Dover, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366752768

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Registry record

Entity type Organization (Type 2)
Legal business name Carroll County Medical Clinic
Practice address 1502 N Jefferson St, St Suite A B, Carrollton, MO, 64633
Phone (660) 542-3865
Fax (660) 542-0336
Enumeration date Oct 19, 2010
Last updated in NPPES Oct 19, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD106594 (MO) Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD109202 (MO) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD106594 (MO) Secondary
2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians · License MD109202 (MO) Secondary

Authorized official

Name Jerry Dover
Title Ceo
Phone (660) 542-1695

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Carroll County Medical Clinic?
The NPI for Carroll County Medical Clinic is 1366752768, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Carroll County Medical Clinic?
NPPES lists Jerry Dover (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-10-19.