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2016 S Main St Maryville MO 64468-2655 | |
(660) 562-2600 | |
(660) 562-7943 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 2016 S Main St, Maryville, Missouri |
Authorized Official Name and Position | Dwight R Carvell (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Contact | 8162730473 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2016 S Main St Maryville MO 64468-2655 Ph: (660) 562-2600 | 2016 S Main St Maryville MO 64468-2655 Ph: (660) 562-2600 |
NPI Number | 1477027803 |
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Provider Enumeration Date | 01/18/2019 |
Last Update Date | 03/12/2019 |
Medicare PECOS PAC ID | 3678813896 |
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Medicare Enrollment ID | O20190405001338 |
Identifier | Type | State | Issuer |
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1477027803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Hallelujah Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 S Main St Ste C, Maryville, MO 64468 Phone: 660-223-1700 | |
Jacobson Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Edwards St, Maryville, MO 64468 Phone: 660-254-1812 |