The Center, A Samaritan Counseling Center | |
902 Edmond St Ste 203 Saint Joseph MO 64501-2702 | |
(816) 364-4300 | |
(816) 279-8148 |
Full Name | The Center, A Samaritan Counseling Center |
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Speciality | Social Worker |
Location | 902 Edmond St, Saint Joseph, Missouri |
Authorized Official Name and Position | Carolyn S Paden (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8163644300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Center, A Samaritan Counseling Center 902 Edmond St Ste 203 Saint Joseph MO 64501-2702 Ph: (816) 364-4300 | The Center, A Samaritan Counseling Center 902 Edmond St Ste 203 Saint Joseph MO 64501-2702 Ph: (816) 364-4300 |
NPI Number | 1255331005 |
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Provider Enumeration Date | 07/22/2005 |
Last Update Date | 05/27/2022 |
Certification Date | 05/27/2022 |
Medicare PECOS PAC ID | 0547161440 |
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Medicare Enrollment ID | O20040114000668 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255331005 | NPI | - | NPPES |
500323209 | Medicaid | MO | |
C980000 | Other | MEDICARE PTAN |
Provider Name | James J Jura |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588698948 PECOS PAC ID: 8224066022 Enrollment ID: I20050802001101 |
Provider Name | Robert L Corder |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1770508327 PECOS PAC ID: 2466477278 Enrollment ID: I20051011000709 |
Provider Name | Amy A Tally |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518265941 PECOS PAC ID: 5698920700 Enrollment ID: I20130221000080 |
Provider Name | Laura L Willoughby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639418262 PECOS PAC ID: 8921246760 Enrollment ID: I20130606000013 |
Provider Name | Joyce A Estes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063616068 PECOS PAC ID: 8022435403 Enrollment ID: I20200831001671 |
Provider Name | Cassandra D Veale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740996495 PECOS PAC ID: 1951775568 Enrollment ID: I20230322002008 |
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