Katy Trail Community Health | |
701 N Oak St Stover MO 65078-0842 | |
(573) 377-4295 | |
(660) 827-8992 |
Full Name | Katy Trail Community Health |
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Speciality | Clinic/center - Dental |
Location | 701 N Oak St, Stover, Missouri |
Authorized Official Name and Position | Christine Stewart (CEO) |
Authorized Official Contact | 6608261571 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Katy Trail Community Health 821 Westwood Dr Sedalia MO 65301-2102 Ph: (660) 826-4774 | Katy Trail Community Health 701 N Oak St Stover MO 65078-0842 Ph: (573) 377-4295 |
NPI Number | 1245707298 |
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Provider Enumeration Date | 10/29/2018 |
Last Update Date | 06/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245707298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |