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1636 So. Glenstone, Ste. 100 Springfield MO 65804-6580 | |
(417) 881-1300 | |
(417) 881-1237 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1636 So. Glenstone, Ste. 100, Springfield, Missouri |
Authorized Official Name and Position | Melissa R Tiffany (CLINIC DIRECTOR) |
Authorized Official Contact | 4178811900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1636 So. Glenstone, Ste. 100 Springfield MO 65804-1434 Ph: (417) 881-1300 | 1636 So. Glenstone, Ste. 100 Springfield MO 65804-6580 Ph: (417) 881-1300 |
NPI Number | 1366634859 |
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Provider Enumeration Date | 08/17/2007 |
Last Update Date | 08/13/2020 |
Medicare PECOS PAC ID | 4981771730 |
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Medicare Enrollment ID | O20080922000178 |
Identifier | Type | State | Issuer |
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1366634859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Harcharan J Bains |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295802403 PECOS PAC ID: 7315041530 Enrollment ID: I20070328000347 |
Provider Name | Stephen R Adams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245363993 PECOS PAC ID: 5597840777 Enrollment ID: I20080312000284 |
Provider Name | Rachael J Winston |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205010022 PECOS PAC ID: 0941376321 Enrollment ID: I20100902000671 |
Provider Name | Stephane M Counts |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922356823 PECOS PAC ID: 0345471835 Enrollment ID: I20140326001485 |
Provider Name | Julie A Macke |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477724607 PECOS PAC ID: 8729308259 Enrollment ID: I20150522001147 |
Provider Name | Lorri J Darrow |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679579593 PECOS PAC ID: 4880743053 Enrollment ID: I20190919000862 |
Provider Name | Melissa Ree Tiffany |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750056115 PECOS PAC ID: 6800963653 Enrollment ID: I20231128003634 |
Provider Name | Kathryn Lynn Vanhooser |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1134558422 PECOS PAC ID: 5193175867 Enrollment ID: I20231220003380 |
Provider Name | Abigail Mccarty |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558040352 PECOS PAC ID: 4183060429 Enrollment ID: I20240309000164 |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |