| Missouri Highlands Health Care | |
|
2879 James Blvd Poplar Bluff MO 63901-3395 | |
| (573) 609-8800 | |
| Not Available |
| Full Name | Missouri Highlands Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2879 James Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Karen R White (CEO) |
| Authorized Official Contact | 5736632313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Highlands Health Care Po Box 19214 Belfast ME 04915-4087 Ph: (573) 663-2313 | Missouri Highlands Health Care 2879 James Blvd Poplar Bluff MO 63901-3395 Ph: (573) 609-8800 |
| NPI Number | 1407478399 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 06/20/2022 |
| Medicare PECOS PAC ID | 6709871007 |
|---|---|
| Medicare Enrollment ID | O20200619000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407478399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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