| Bourbon Clinic | |
|
240 College St Bourbon MO 65441-8308 | |
| (573) 732-5140 | |
| (314) 996-3610 |
| Full Name | Bourbon Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 240 College St, Bourbon, Missouri |
| Authorized Official Name and Position | Tony Schwarm (PRESIDENT) |
| Authorized Official Contact | 5734684186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bourbon Clinic 670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 Ph: (314) 996-7644 | Bourbon Clinic 240 College St Bourbon MO 65441-8308 Ph: (573) 732-5140 |
| NPI Number | 1326131475 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/23/2021 |
| Medicare PECOS PAC ID | 2668380148 |
|---|---|
| Medicare Enrollment ID | O20051205000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326131475 | NPI | - | NPPES |
| CE7443 | Other | MO | MEDICARE RAILROAD |
| CG2664 | Other | MO | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 355-24 (Missouri) | Primary |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N. Old Highway 66, Bourbon, MO 65541 Phone: 573-679-2006 Fax: 573-679-2003 | |
Your Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 College St, Bourbon, MO 65441 Phone: 573-426-2407 Fax: 573-426-2407 | |
Bourbon Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 College St, Bourbon, MO 65441 Phone: 573-732-5004 | |
Mercy Clinic East Communities Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 N Old Highway 66, Bourbon, MO 65441 Phone: 573-679-2006 |