Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1000 Main St, Cabool, Missouri |
Authorized Official Name and Position | Rod Troy Barton (PHYSICIAN/PRESIDENT) |
Authorized Official Contact | 4178393886 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 867 Mountain Grove MO 65711-0867 Ph: (417) 839-3886 | 1000 Main St Cabool MO 65689-9125 Ph: (417) 839-3886 |
NPI Number | 1114163367 |
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Provider Enumeration Date | 12/17/2008 |
Last Update Date | 01/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114163367 | NPI | - | NPPES |
244666442 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 113546 (Missouri) | Primary |
Douglas County Public Health Services Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Dys Dr, Cabool, MO 65689 Phone: 417-962-4344 | |