| Fayette Outpatient Clinic | |
|
600 W Morrison St Suite 16 Fayette MO 65248-1075 | |
| (660) 248-3313 | |
| (660) 248-3313 |
| Full Name | Fayette Outpatient Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 600 W Morrison St, Fayette, Missouri |
| Authorized Official Name and Position | Allen Tacker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5734432204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayette Outpatient Clinic 117 N Garth Ave Columbia MO 65203-4103 Ph: (573) 443-2204 | Fayette Outpatient Clinic 600 W Morrison St Suite 16 Fayette MO 65248-1075 Ph: (660) 248-3313 |
| NPI Number | 1710022108 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710022108 | NPI | - | NPPES |
| 1649269622 | Other | MO | FCCMO BILLING NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Crossroads Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 W Morrison St, Fayette, MO 65248 Phone: 660-537-3537 | |
Cmu Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Central Methodist Sq, Rm 206, Fayette, MO 65248 Phone: 972-367-4845 |