A1care | |
650 Vine St Poplar Bluff MO 63901-5039 | |
(573) 778-1126 | |
(573) 785-4887 |
Full Name | A1care |
---|---|
Speciality | Psychologist - Intellectual & Developmental Disabilities |
Location | 650 Vine St, Poplar Bluff, Missouri |
Authorized Official Name and Position | Patricia Rose Campbell (OWNER) |
Authorized Official Contact | 5737781126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
A1care 650 Vine St Poplar Bluff MO 63901-5039 Ph: (573) 778-1126 | A1care 650 Vine St Poplar Bluff MO 63901-5039 Ph: (573) 778-1126 |
NPI Number | 1508925025 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 06/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508925025 | NPI | - | NPPES |
193400000X | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 14078480 (Missouri) | Primary |
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