Ash Grove Family Medical Center | |
500 N Medical Dr Ash Grove MO 65604-1005 | |
(417) 751-2100 | |
(417) 751-9593 |
Full Name | Ash Grove Family Medical Center |
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Speciality | Clinic/Center |
Location | 500 N Medical Dr, Ash Grove, Missouri |
Authorized Official Name and Position | Donald J. Babb (CEO) |
Authorized Official Contact | 4173266000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ash Grove Family Medical Center 500 N Medical Dr Ash Grove MO 65604-1005 Ph: (417) 751-2100 | Ash Grove Family Medical Center 500 N Medical Dr Ash Grove MO 65604-1005 Ph: (417) 751-2100 |
NPI Number | 1417161449 |
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Provider Enumeration Date | 05/09/2007 |
Last Update Date | 10/24/2014 |
Medicare PECOS PAC ID | 4183528169 |
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Medicare Enrollment ID | O20080125000584 |
Identifier | Type | State | Issuer |
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1417161449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |