Agape Primary Care Inc | |
2331 S Business Highway 65 Hollister MO 65672-5105 | |
(417) 339-3033 | |
(417) 339-9133 |
Full Name | Agape Primary Care Inc |
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Speciality | Clinic/center - Rural Health |
Location | 2331 S Business Highway 65, Hollister, Missouri |
Authorized Official Name and Position | R Randall Sukman (OWNER) |
Authorized Official Contact | 4173393033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Agape Primary Care Inc 2331 S Business Highway 65 Hollister MO 65672-5105 Ph: (417) 339-3033 | Agape Primary Care Inc 2331 S Business Highway 65 Hollister MO 65672-5105 Ph: (417) 339-3033 |
NPI Number | 1861619025 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 10/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861619025 | NPI | - | NPPES |
598529105 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 109959 (Missouri) | Primary |
Southtowne Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Mall Rd, Suite H, Hollister, MO 65672 Phone: 417-336-5161 Fax: 417-336-0242 | |