| Bootheel Primary Care New Madrid | |
|
555 Virginia Ave New Madrid MO 63869 | |
| (573) 748-3107 | |
| (573) 748-3112 |
| Full Name | Bootheel Primary Care New Madrid |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 555 Virginia Ave, New Madrid, Missouri |
| Authorized Official Name and Position | Cathy Lacey (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 5733593659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bootheel Primary Care New Madrid Po Box 442 Hayti MO 63851-0442 Ph: (573) 359-3659 | Bootheel Primary Care New Madrid 555 Virginia Ave New Madrid MO 63869 Ph: (573) 748-3107 |
| NPI Number | 1932372646 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 06/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932372646 | NPI | - | NPPES |
| 597723402 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
New Madrid Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Semo Dr, New Madrid, MO 63869 Phone: 573-748-2592 Fax: 573-748-2673 | |
Mercy Hospital Stoddard Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Us Highway 61, New Madrid, MO 63869 Phone: 573-521-2442 Fax: 573-624-8895 | |
Southeast Missouri Health Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Us Highway 61, New Madrid, MO 63869 Phone: 573-688-2165 Fax: 573-313-2505 | |
Ferguson Medical Group Rural Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 Virginia Ave, New Madrid, MO 63869 Phone: 573-471-0330 Fax: 573-481-5019 | |
New Madrid Community Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 Main St, New Madrid, MO 63869 Phone: 573-748-2546 Fax: 573-748-7622 |