| Clark Community Mental Health Center | |
|
104 W Main St Pierce City MO 65723-1210 | |
| (417) 476-1000 | |
| Not Available |
| Full Name | Clark Community Mental Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 104 W Main St, Pierce City, Missouri |
| Authorized Official Name and Position | Brad Ridenour (CEO) |
| Authorized Official Contact | 4174761000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Community Mental Health Center Po Box 100 104 W. Main Pierce City MO 65723-2100 Ph: (417) 476-1000 | Clark Community Mental Health Center 104 W Main St Pierce City MO 65723-1210 Ph: (417) 476-1000 |
| NPI Number | 1497297626 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 11/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497297626 | NPI | - | NPPES |
| 1801807771 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1784 (Missouri) | Primary |
Clark Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Main St, Pierce City, MO 65723 Phone: 417-476-1000 Fax: 471-476-1082 | |
Clark Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Main St, Pierce City, MO 65723 Phone: 417-476-1000 Fax: 417-476-1082 | |
Clark Community Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 West Main, Pierce City, MO 65723 Phone: 417-476-1000 Fax: 417-476-1082 |