| Archie Medical Clinic | |
|
709 E Pine St. Archie MO 64725 | |
| (816) 430-5777 | |
| (816) 430-5219 |
| Full Name | Archie Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 709 E Pine St., Archie, Missouri |
| Authorized Official Name and Position | Janie Elliott (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 8168870315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archie Medical Clinic 2800 E Rock Haven Rd Harrisonville MO 64701-4411 Ph: (816) 887-0315 | Archie Medical Clinic 709 E Pine St. Archie MO 64725 Ph: (816) 430-5777 |
| NPI Number | 1760472922 |
|---|---|
| Provider Enumeration Date | 10/27/2005 |
| Last Update Date | 11/01/2022 |
| Medicare PECOS PAC ID | 7517853781 |
|---|---|
| Medicare Enrollment ID | O20040928001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760472922 | NPI | - | NPPES |
| 593863004 | Medicaid | MO | |
| 24824010 | Other | MO | BCBS OF KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dba Archie Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 E Pine St, Archie, MO 64725 Phone: 816-430-5777 Fax: 816-430-5219 |