| Hcch Medical Clinic | |
|
3202 Miller St Bethany MO 64424-2713 | |
| (660) 425-3154 | |
| (660) 425-6663 |
| Full Name | Hcch Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3202 Miller St, Bethany, Missouri |
| Authorized Official Name and Position | Christina Gillespie (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6604252211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hcch Medical Clinic 3202 Miller St Bethany MO 64424-2713 Ph: (660) 425-3154 | Hcch Medical Clinic 3202 Miller St Bethany MO 64424-2713 Ph: (660) 425-3154 |
| NPI Number | 1154645745 |
|---|---|
| Provider Enumeration Date | 03/25/2010 |
| Last Update Date | 09/21/2021 |
| Medicare PECOS PAC ID | 4587630926 |
|---|---|
| Medicare Enrollment ID | O20040907001047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154645745 | NPI | - | NPPES |
| 598581601 | Medicaid | MO | |
| 43650011 | Other | MO | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Charles M Sciolaro |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942215835 PECOS PAC ID: 9830002161 Enrollment ID: I20031111000894 |
| Provider Name | Scott E Eveloff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043203698 PECOS PAC ID: 4284620410 Enrollment ID: I20040422001570 |
| Provider Name | Dwayne E Jones |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1356317952 PECOS PAC ID: 7911989710 Enrollment ID: I20040604000578 |
| Provider Name | Yolanda M Huet Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467543017 PECOS PAC ID: 1658343991 Enrollment ID: I20040819000708 |
| Provider Name | Terry E Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508834409 PECOS PAC ID: 0648248963 Enrollment ID: I20040923000551 |
| Provider Name | Deborah Manning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144262999 PECOS PAC ID: 7416906409 Enrollment ID: I20050117000551 |
| Provider Name | Randal T Qualls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922108422 PECOS PAC ID: 5294784740 Enrollment ID: I20050121000548 |
| Provider Name | Gregory Alan Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568430437 PECOS PAC ID: 8224082441 Enrollment ID: I20050323001410 |
| Provider Name | Christopher Andrew Best |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225021140 PECOS PAC ID: 6305882887 Enrollment ID: I20060111001040 |
| Provider Name | Jacob C Christian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790887388 PECOS PAC ID: 3173675485 Enrollment ID: I20090717000283 |
| Provider Name | Jinming Song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154432631 PECOS PAC ID: 2567530009 Enrollment ID: I20090828000174 |
| Provider Name | Cephas C Paniamogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053601716 PECOS PAC ID: 8022273994 Enrollment ID: I20120626000664 |
| Provider Name | Kenneth Chad Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063704161 PECOS PAC ID: 2365699691 Enrollment ID: I20120821001117 |
| Provider Name | Thomas W Lovinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962729152 PECOS PAC ID: 2769643576 Enrollment ID: I20130923000405 |
| Provider Name | Kelly Ann Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164062972 PECOS PAC ID: 7911335864 Enrollment ID: I20200309000271 |
| Provider Name | Ashley Anne Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649660812 PECOS PAC ID: 6901124148 Enrollment ID: I20200309000598 |
| Provider Name | Kimberly R Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043693104 PECOS PAC ID: 1254648132 Enrollment ID: I20220504001155 |
| Provider Name | Zachery C Mahler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831750785 PECOS PAC ID: 1355671215 Enrollment ID: I20220929001835 |
Bethany Health Services Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 N 25th St, Bethany, MO 64424 Phone: 660-425-7333 Fax: 660-425-7346 | |
Harrison County Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2703 Miller St, Bethany, MO 64424 Phone: 660-425-7443 Fax: 660-425-6516 | |
Infinity Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2600 Miller St, Bethany, MO 64424 Phone: 414-462-3836 | |
Terry E Hall Md Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2703 Miller St, Bethany, MO 64424 Phone: 660-425-7443 Fax: 660-425-6516 | |
North Missouri Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2703 Miller St, Bethany, MO 64424 Phone: 660-425-7443 Fax: 660-425-6516 | |
Bethany Medical Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3202 Miller St, Bethany, MO 64424 Phone: 660-425-3154 Fax: 660-425-6663 |