| Bridges Medical Services P.c. | |
|
155 Village Dr Sparta MO 65753 | |
| (417) 634-4203 | |
| (417) 634-4505 |
| Full Name | Bridges Medical Services P.c. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 155 Village Dr, Sparta, Missouri |
| Authorized Official Name and Position | Janiece Rachelle Bridges (OWNER) |
| Authorized Official Contact | 4175464200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridges Medical Services P.c. Po Box 1240 Forsyth MO 65653-1240 Ph: (417) 546-4200 | Bridges Medical Services P.c. 155 Village Dr Sparta MO 65753 Ph: (417) 634-4203 |
| NPI Number | 1972620383 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 05/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972620383 | NPI | - | NPPES |
| 595903410 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Sparta Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Hugh Ave, Sparta, MO 65753 Phone: 417-634-3000 Fax: 417-634-3001 | |
Och Sparta Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 155 Village Drive, Sparta, MO 65753 Phone: 417-634-4203 Fax: 417-634-4505 |