<unavail> in Canton, MO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Canton, Missouri. The current practice location for is 1802 Elm St, Canton, Missouri. For appointments, you can reach them via phone at (573) 655-4891. The mailing address for is 6500 Hospital Dr, Hannibal, Missouri and phone number is (573) 221-3415.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063431575. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (573) 655-4891.

Contact Information


	1802 Elm St Canton MO 63435-1694
	(573) 655-4891
	(573) 288-5361

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1802 Elm St, Canton, Missouri
Authorized Official Name and Position	Rob Gasaway (VP OF FINANCE)
Authorized Official Contact	5734061608
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
6500 Hospital Dr Hannibal MO 63401-6890 Ph: (573) 221-3415	1802 Elm St Canton MO 63435-1694 Ph: (573) 655-4891

NPI Details:

NPI Number	1063431575
Provider Enumeration Date	07/18/2006
Last Update Date	05/25/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	1254236300
Medicare Enrollment ID	O20080118000508

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063431575	NPI	-	NPPES
590416004	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Canton, MO

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 Elm St, Canton, MO 63435 Phone: 573-288-0616
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 Elm St, Canton, MO 63435 Phone: 217-223-8400
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 E Outer Rd S Ste 4, Canton, MO 63435 Phone: 573-288-5949 Fax: 573-288-5755
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 College Hl, Canton, MO 63435 Phone: 972-367-4845

- Medicare Primary Care in Canton, MO