| |
401 E Highway 19 Center MO 63436-1044 | |
(573) 267-3318 | |
(573) 267-3933 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 401 E Highway 19, Center, Missouri |
Authorized Official Name and Position | Maureen Kahn (PRESIDENT / CEO) |
Authorized Official Contact | 2172238400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1005 Broadway St Quincy IL 62301-2834 Ph: (217) 223-8400 | 401 E Highway 19 Center MO 63436-1044 Ph: (573) 267-3318 |
NPI Number | 1932877321 |
---|---|
Provider Enumeration Date | 09/01/2021 |
Last Update Date | 05/17/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932877321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |