| New Medico Healthcare Corporation | |
|
3361 S Springfield Ave Bolivar MO 65613-9132 | |
| (417) 777-1182 | |
| (417) 777-1183 |
| Full Name | New Medico Healthcare Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3361 S Springfield Ave, Bolivar, Missouri |
| Authorized Official Name and Position | Edilberto B Lorenzo (OWNER) |
| Authorized Official Contact | 4177771182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Medico Healthcare Corporation Po Box 209 Osage Beach MO 65065-0209 Ph: (417) 777-1182 | New Medico Healthcare Corporation 3361 S Springfield Ave Bolivar MO 65613-9132 Ph: (417) 777-1182 |
| NPI Number | 1245250091 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 09/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245250091 | NPI | - | NPPES |
| 128988002 | Medicaid | AR | |
| 493986483 | Medicaid | MO | |
| 498904515 | Medicaid | MO | |
| 505355909 | Medicaid | MO | |
| 127191001 | Medicaid | AR | |
| 208100107 | Medicaid | MO |
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