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6996 County Road 326 Palmyra MO 63461-3119 | |
(573) 769-3710 | |
(573) 769-3753 |
Full Name | |
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Speciality | Clinic/Center |
Location | 6996 County Road 326, Palmyra, Missouri |
Authorized Official Name and Position | Maureen Kahn (BCS CEO) |
Authorized Official Contact | 2172238400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1005 Broadway St Quincy IL 62301-2834 Ph: (217) 223-8400 | 6996 County Road 326 Palmyra MO 63461-3119 Ph: (573) 769-3710 |
NPI Number | 1407542103 |
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Provider Enumeration Date | 04/14/2023 |
Last Update Date | 05/17/2023 |
Medicare PECOS PAC ID | 3072422534 |
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Medicare Enrollment ID | O20230708000102 |
Identifier | Type | State | Issuer |
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1407542103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |