| Boone Physician Services, Llc | |
|
1021 E Highway 22 Centralia MO 65240-1183 | |
| (573) 682-5588 | |
| (573) 682-1539 |
| Full Name | Boone Physician Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 E Highway 22, Centralia, Missouri |
| Authorized Official Name and Position | Brian Lee Winn (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 5738153269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boone Physician Services, Llc 1021 E Highway 22 Centralia MO 65240-1183 Ph: (573) 682-5588 | Boone Physician Services, Llc 1021 E Highway 22 Centralia MO 65240-1183 Ph: (573) 682-5588 |
| NPI Number | 1619648532 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 09/21/2021 |
| Medicare PECOS PAC ID | 6507090644 |
|---|---|
| Medicare Enrollment ID | O20211004002355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619648532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Centralia Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 E Highway 22, Centralia, MO 65240 Phone: 573-682-5580 Fax: 573-682-1539 | |
Centralia Family Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 E Highway 22, Centralia, MO 65240 Phone: 573-682-5588 Fax: 573-682-1539 | |
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