| Burton Creek Rural Clinic, Llc | |
|
805 Kentucky Ave West Plains MO 65775 | |
| (417) 256-2111 | |
| (417) 256-4858 |
| Full Name | Burton Creek Rural Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 Kentucky Ave, West Plains, Missouri |
| Authorized Official Name and Position | Tyler Thompson (ADMINISTRATOR) |
| Authorized Official Contact | 4172562111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burton Creek Rural Clinic, Llc 805 Kentucky Ave West Plains MO 65775 Ph: (417) 256-2111 | Burton Creek Rural Clinic, Llc 805 Kentucky Ave West Plains MO 65775 Ph: (417) 256-2111 |
| NPI Number | 1720075161 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 4587576244 |
|---|---|
| Medicare Enrollment ID | O20031023000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720075161 | NPI | - | NPPES |
| DC9179 | Other | MEDICARE RR | |
| 599022308 | Medicaid | MO | |
| 509022307 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Burton Creek Rural Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-2111 Fax: 417-256-4858 | |
Midwest Family Medicine Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1598 Imperial Ctr, Suite 2009, West Plains, MO 65775 Phone: 417-256-6866 Fax: 417-256-4263 | |
Through Him Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1307 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-255-8645 Fax: 417-255-8649 | |
Doctors Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-1006 Fax: 417-256-1007 | |
Hometown Clinic At West Plains, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-3717 | |
Southern Missouri Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1137 Independence Dr, West Plains, MO 65775 Phone: 417-255-8464 Fax: 417-255-9741 | |
Southern Missouri Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 Gibson St, West Plains, MO 65775 Phone: 417-256-3717 Fax: 417-256-3738 |