Braymer Clinic | |
109 Main Street Braymer MO 64624 | |
(660) 645-2218 | |
(660) 645-2820 |
Full Name | Braymer Clinic |
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Speciality | Clinic/Center |
Location | 109 Main Street, Braymer, Missouri |
Authorized Official Name and Position | Matt Younger (CEO) |
Authorized Official Contact | 8162326818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Braymer Clinic 109 Main Street Braymer MO 64624-0036 Ph: (660) 645-2218 | Braymer Clinic 109 Main Street Braymer MO 64624 Ph: (660) 645-2218 |
NPI Number | 1215059209 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 11/10/2021 |
Medicare PECOS PAC ID | 7113835174 |
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Medicare Enrollment ID | O20080731000512 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215059209 | NPI | - | NPPES |
501330435 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |