Bolivar Family Care Center | |
1240 N Butterfield Rd Bolivar MO 65613-3016 | |
(417) 326-6021 | |
(417) 326-6347 |
Full Name | Bolivar Family Care Center |
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Speciality | Clinic/Center |
Location | 1240 N Butterfield Rd, Bolivar, Missouri |
Authorized Official Name and Position | Vickie L Vickers (DIRECTOR SPECIALTY CLINIC & PHYSICA) |
Authorized Official Contact | 4173286908 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bolivar Family Care Center 1240 N Butterfield Rd Bolivar MO 65613-3016 Ph: (417) 326-6021 | Bolivar Family Care Center 1240 N Butterfield Rd Bolivar MO 65613-3016 Ph: (417) 326-6021 |
NPI Number | 1063588960 |
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Provider Enumeration Date | 11/24/2006 |
Last Update Date | 02/17/2014 |
Medicare PECOS PAC ID | 4183528169 |
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Medicare Enrollment ID | O20131115001582 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063588960 | NPI | - | NPPES |
596054304 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Bolivar Family Care Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 Fax: 417-326-6347 | |
Ozarks Community Health Center - Miles For Smiles Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 E. Broadway St., Bolivar, MO 65613 Phone: 417-328-6334 Fax: 417-326-8111 | |
Bolivar Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613 Phone: 417-326-6021 | |
Doctors Testing Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-2654 Fax: 417-326-2654 | |
Bolivar Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 S Springfield Ave, Bolivar, MO 65613 Phone: 417-326-4000 Fax: 417-326-6400 | |
Carl L. Blomenkamp,d.c.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2853 W Broadway St, Bolivar, MO 65613 Phone: 417-326-3888 |