| Afc Urgent Care Joplin | |
|
320 Geneva Ave Ste 100 Joplin MO 64801-1645 | |
| (970) 946-8757 | |
| (970) 264-5919 |
| Full Name | Afc Urgent Care Joplin |
|---|---|
| Speciality | Family Medicine |
| Location | 320 Geneva Ave Ste 100, Joplin, Missouri |
| Authorized Official Name and Position | Reilly L Allmoslecher (OWNER) |
| Authorized Official Contact | 9709468757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Afc Urgent Care Joplin 301 N Pagosa Blvd Unit B10 Pagosa Springs CO 81147-7012 Ph: (970) 946-8757 | Afc Urgent Care Joplin 320 Geneva Ave Ste 100 Joplin MO 64801-1645 Ph: (970) 946-8757 |
| NPI Number | 1881473569 |
|---|---|
| Provider Enumeration Date | 09/22/2023 |
| Last Update Date | 05/13/2024 |
| Medicare PECOS PAC ID | 8325495112 |
|---|---|
| Medicare Enrollment ID | O20231116000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881473569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Samrah Mansoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063581809 PECOS PAC ID: 4981702008 Enrollment ID: I20070613000038 |
| Provider Name | Jacob N Masena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669798880 PECOS PAC ID: 0244466613 Enrollment ID: I20131114000217 |
| Provider Name | Reilly Allmoslecher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427610377 PECOS PAC ID: 9638406887 Enrollment ID: I20190809001698 |
| Provider Name | Adina R Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558694000 PECOS PAC ID: 9335331743 Enrollment ID: I20190905000608 |
| Provider Name | Melissa R Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447820121 PECOS PAC ID: 2961892245 Enrollment ID: I20221202002634 |
| Provider Name | Joshua Etcheson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124648654 PECOS PAC ID: 2961863618 Enrollment ID: I20230728000258 |
| Provider Name | Abby Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396497335 PECOS PAC ID: 8921475245 Enrollment ID: I20240326000177 |
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