| Childrens Tcm | |
|
3006 Mc Clelland Blvd Joplin MO 64804-1637 | |
| (417) 347-7600 | |
| (417) 347-7608 |
| Full Name | Childrens Tcm |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3006 Mc Clelland Blvd, Joplin, Missouri |
| Authorized Official Name and Position | Mary B. Parrigon (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4173477600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Tcm Po Box 2526 Joplin MO 64803-2526 Ph: (417) 347-7600 | Childrens Tcm 3006 Mc Clelland Blvd Joplin MO 64804-1637 Ph: (417) 347-7600 |
| NPI Number | 1093863698 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 12/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093863698 | NPI | - | NPPES |
| 152665303 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3070-8702 (Missouri) | Primary |
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