| Adrian Clinic, Llc | |
|
57 East Main Street Adrian MO 64720 | |
| (816) 297-8700 | |
| (816) 297-8717 |
| Full Name | Adrian Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 57 East Main Street, Adrian, Missouri |
| Authorized Official Name and Position | Laura Thiem (OWNER) |
| Authorized Official Contact | 8162978700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Clinic, Llc Po Box 7 Adrian MO 64720-0007 Ph: (816) 297-8700 | Adrian Clinic, Llc 57 East Main Street Adrian MO 64720 Ph: (816) 297-8700 |
| NPI Number | 1538187711 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538187711 | NPI | - | NPPES |
| 501403307 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 138659 (Missouri) | Secondary |
Adrian Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E. Main, Adrian, MO 64720 Phone: 660-200-7108 Fax: 660-200-7015 | |
Family Care Clinic Adrian Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 E. Main, Adrian, MO 64720 Phone: 816-297-2640 Fax: 660-200-7015 |