Cainsville Medical Clinic | |
707 Victory Lane Cainsville MO 64632 | |
(660) 893-5750 | |
(660) 893-5751 |
Full Name | Cainsville Medical Clinic |
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Speciality | Clinic/Center |
Location | 707 Victory Lane, Cainsville, 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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Cainsville Medical Clinic 707 Victory Lane Cainsville MO 64632 Ph: (660) 893-5750 | Cainsville Medical Clinic 707 Victory Lane Cainsville MO 64632 Ph: (660) 893-5750 |
NPI Number | 1053433920 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 11/10/2021 |
Medicare PECOS PAC ID | 7113835174 |
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Medicare Enrollment ID | O20030103000010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053433920 | NPI | - | NPPES |
506065309 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |