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256 State Highway Y Forsyth MO 65653-5618 | |
(417) 546-4200 | |
(417) 546-4505 |
Full Name | |
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Speciality | Clinic/Center |
Location | 256 State Highway Y, Forsyth, Missouri |
Authorized Official Name and Position | Janiece Rachelle Bridges (MEDICAL DIRECTOR) |
Authorized Official Contact | 4175464200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1240 Forsyth MO 65653-1240 Ph: (417) 546-4200 | 256 State Highway Y Forsyth MO 65653-5618 Ph: (417) 546-4200 |
NPI Number | 1700902244 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 05/12/2014 |
Medicare PECOS PAC ID | 9638088172 |
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Medicare Enrollment ID | O20030224000044 |
Identifier | Type | State | Issuer |
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1700902244 | NPI | - | NPPES |
595903402 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Reed Click, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15449 Us Highway 160, Forsyth, MO 65653 Phone: 417-546-2401 Fax: 417-546-2409 | |
Advocates For A Healthy Community Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15479 Us Highway 160, Forsyth, MO 65653 Phone: 417-831-0150 | |