| Apollo Healthcare, Llc | |
|
1031 E Karsch Blvd Farmington MO 63640-3404 | |
| (573) 756-7880 | |
| (573) 756-2669 |
| Full Name | Apollo Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1031 E Karsch Blvd, Farmington, Missouri |
| Authorized Official Name and Position | Amelia Doris Ledbetter (DIRECTOR) |
| Authorized Official Contact | 5733354715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apollo Healthcare, Llc Po Box 107 Farmington MO 63640-0107 Ph: (573) 756-7880 | Apollo Healthcare, Llc 1031 E Karsch Blvd Farmington MO 63640-3404 Ph: (573) 756-7880 |
| NPI Number | 1245545391 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 4385823335 |
|---|---|
| Medicare Enrollment ID | O20110124000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245545391 | NPI | - | NPPES |
| 590121307 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Nilima P Chand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942227681 PECOS PAC ID: 6103729967 Enrollment ID: I20071107000718 |
| Provider Name | Laurie Ann Heaps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922295633 PECOS PAC ID: 8820175409 Enrollment ID: I20080407000394 |
| Provider Name | Linda Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760765804 PECOS PAC ID: 3274708706 Enrollment ID: I20111213000238 |
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