| |
905 Business 161 Bowling Green MO 63334 | |
(573) 324-3333 | |
(573) 324-3334 |
Full Name | |
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Speciality | Clinic/Center |
Location | 905 Business 161, Bowling Green, Missouri |
Authorized Official Name and Position | Denise Foster (OWNER) |
Authorized Official Contact | 6363584778 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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905 Highway 161 Bowling Green MO 63334-2431 Ph: (573) 324-3333 | 905 Business 161 Bowling Green MO 63334 Ph: (573) 324-3333 |
NPI Number | 1588168215 |
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Provider Enumeration Date | 03/19/2018 |
Last Update Date | 03/18/2020 |
Medicare PECOS PAC ID | 5799022141 |
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Medicare Enrollment ID | O20190123003866 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588168215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Bgmg Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Highway 161, Bowling Green, MO 63334 Phone: 573-324-3333 Fax: 573-324-3334 | |
Naman Ghazal Albar Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 W Church St, Bowling Green, MO 63334 Phone: 573-324-5300 | |