| Bhc - Truman Lake | |
|
1765 Commercial St Warsaw MO 65355-3096 | |
| (660) 468-3800 | |
| (660) 438-6525 |
| Full Name | Bhc - Truman Lake |
|---|---|
| Speciality | Family Medicine |
| Location | 1765 Commercial St, Warsaw, Missouri |
| Authorized Official Name and Position | James A Robertson (CFO) |
| Authorized Official Contact | 6608279482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhc - Truman Lake 601 E 14th Street Po Box 1706 Sedalia MO 65301-5972 Ph: (660) 826-8833 | Bhc - Truman Lake 1765 Commercial St Warsaw MO 65355-3096 Ph: (660) 468-3800 |
| NPI Number | 1043399371 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 04/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043399371 | NPI | - | NPPES |
| 505432005 | Medicaid | MO | |
| 22602015 | Other | MO | BLUE CROSS BLUE SHIELD OF KC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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