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240 College St Bourbon MO 65441-8308 | |
(573) 732-5004 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 240 College St, Bourbon, Missouri |
Authorized Official Name and Position | Tony L Schwarm (PRESIDENT) |
Authorized Official Contact | 5734684186 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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751 Sappington Bridge Rd Administration Sullivan MO 63080-2354 Ph: (573) 468-4186 | 240 College St Bourbon MO 65441-8308 Ph: (573) 732-5004 |
NPI Number | 1184174567 |
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Provider Enumeration Date | 10/10/2016 |
Last Update Date | 03/23/2021 |
Identifier | Type | State | Issuer |
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1184174567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | 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 | |
Mercy Clinic East Communities Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 N Old Highway 66, Bourbon, MO 65441 Phone: 573-679-2006 | |