Benton Community Care Center | |
6468 State Highway 77 Benton MO 63736-8237 | |
(573) 545-3700 | |
Not Available |
Full Name | Benton Community Care Center |
---|---|
Speciality | Clinic/Center |
Location | 6468 State Highway 77, Benton, Missouri |
Authorized Official Name and Position | Jason Schrumpf (CEO) |
Authorized Official Contact | 5734727601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Benton Community Care Center 1008 N Main St Sikeston MO 63801-5044 Ph: (573) 545-3700 | Benton Community Care Center 6468 State Highway 77 Benton MO 63736-8237 Ph: (573) 545-3700 |
NPI Number | 1609230507 |
---|---|
Provider Enumeration Date | 04/07/2016 |
Last Update Date | 04/07/2016 |
Medicare PECOS PAC ID | 1355252891 |
---|---|
Medicare Enrollment ID | O20160708001380 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609230507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Comprehensive Family Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 S Winchester St, Benton, MO 63736 Phone: 573-335-1344 | |
Benton Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6724 State Highway 77, Benton, MO 63736 Phone: 573-748-7712 Fax: 573-545-4425 | |
Southeast Missouri Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6738 State Highway 77, Benton, MO 63736 Phone: 573-313-2500 Fax: 573-313-2505 |