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215 E 3rd St Carthage MO 64836-1661 | |
(417) 782-6200 | |
(417) 237-0555 |
Full Name | |
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Speciality | Clinic/Center |
Location | 215 E 3rd St, Carthage, Missouri |
Authorized Official Name and Position | Donald Michael Mcbride (CEO) |
Authorized Official Contact | 4174519450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 758 Neosho MO 64850-0758 Ph: (417) 451-9450 | 215 E 3rd St Carthage MO 64836-1661 Ph: (417) 782-6200 |
NPI Number | 1386095255 |
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Provider Enumeration Date | 06/22/2016 |
Last Update Date | 07/26/2024 |
Medicare PECOS PAC ID | 8123918257 |
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Medicare Enrollment ID | O20161128001277 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386095255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Medical Center Of Carthage, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1632 Missouri Ave, Carthage, MO 64836 Phone: 417-773-6154 | |
Medstaff Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1129 W Fairview Ave, Carthage, MO 64836 Phone: 417-358-8131 Fax: 404-698-2614 |