| Argyle Family Health Clinic, Inc | |
|
606 E High St Jefferson City MO 65101-3279 | |
| (573) 635-3148 | |
| (573) 636-9350 |
| Full Name | Argyle Family Health Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 606 E High St, Jefferson City, Missouri |
| Authorized Official Name and Position | Kim A Lueckehoff (OFFICE MANAGER) |
| Authorized Official Contact | 5736353148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Argyle Family Health Clinic, Inc 606 E High St Jefferson City MO 65101-3279 Ph: (573) 635-3148 | Argyle Family Health Clinic, Inc 606 E High St Jefferson City MO 65101-3279 Ph: (573) 635-3148 |
| NPI Number | 1629045349 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2567591324 |
|---|---|
| Medicare Enrollment ID | O20100603000807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629045349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Missouri) | Primary |
| Provider Name | Michael P Dudenhoeffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073517900 PECOS PAC ID: 3072513308 Enrollment ID: I20100603000902 |
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