| |
116 N Jefferson St Neosho MO 64850-1546 | |
(417) 451-2255 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 116 N Jefferson St, Neosho, Missouri |
Authorized Official Name and Position | Sheila R Long (CFO) |
Authorized Official Contact | 4174519450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 758 Neosho MO 64850-0758 Ph: (417) 451-0619 | 116 N Jefferson St Neosho MO 64850-1546 Ph: (417) 451-2255 |
NPI Number | 1871084913 |
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Provider Enumeration Date | 05/24/2018 |
Last Update Date | 05/28/2019 |
Identifier | Type | State | Issuer |
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1871084913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Freeman Neosho Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 336 S Jefferson St, Neosho, MO 64850 Phone: 417-455-4200 | |
Free Market Physician Hospital Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 La Questa Dr, Neosho, MO 64850 Phone: 417-283-4953 | |