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200 E Vermont St King City MO 64463-7812 | |
(660) 552-4054 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 200 E Vermont St, King City, Missouri |
Authorized Official Name and Position | Joseph F Abrutz (ADMINISTRATOR) |
Authorized Official Contact | 8166322101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1600 E Evergreen St Cameron MO 64429-2400 Ph: () - | 200 E Vermont St King City MO 64463-7812 Ph: (660) 552-4054 |
NPI Number | 1861269318 |
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Provider Enumeration Date | 12/05/2023 |
Last Update Date | 07/08/2024 |
Medicare PECOS PAC ID | 5092622001 |
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Medicare Enrollment ID | O20240403000237 |
Identifier | Type | State | Issuer |
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1861269318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |