Campbell Medical Clinic | |
413 W Grand Ave Campbell MO 63933-1523 | |
(573) 246-2582 | |
(573) 246-3246 |
Full Name | Campbell Medical Clinic |
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Speciality | Clinic/Center |
Location | 413 W Grand Ave, Campbell, Missouri |
Authorized Official Name and Position | James L Magee (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8705983881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Campbell Medical Clinic 413 W Grand Ave Campbell MO 63933-1523 Ph: (573) 246-2582 | Campbell Medical Clinic 413 W Grand Ave Campbell MO 63933-1523 Ph: (573) 246-2582 |
NPI Number | 1033100870 |
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Provider Enumeration Date | 11/01/2005 |
Last Update Date | 10/26/2023 |
Medicare PECOS PAC ID | 0345140448 |
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Medicare Enrollment ID | O20071119000612 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033100870 | NPI | - | NPPES |
123836729 | Medicaid | AR | |
596746305 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |