| Capital Region Medical Clinic-stover | |
|
2nd Street And Oak Stover MO 65078 | |
| (573) 377-2313 | |
| (573) 377-4243 |
| Full Name | Capital Region Medical Clinic-stover |
|---|---|
| Speciality | Family Medicine |
| Location | 2nd Street And Oak, Stover, Missouri |
| Authorized Official Name and Position | James R Mcmillan (VP FINANCE) |
| Authorized Official Contact | 5736325100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Region Medical Clinic-stover Po Box 489 Stover MO 65078 Ph: (573) 377-2313 | Capital Region Medical Clinic-stover 2nd Street And Oak Stover MO 65078 Ph: (573) 377-2313 |
| NPI Number | 1215906433 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215906433 | NPI | - | NPPES |
| 007100 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Katy Trail Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41569 Ivy Bend Rd, Stover, MO 65078 Phone: 877-733-5824 Fax: 888-979-8868 | |
Katy Trail Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N Oak St, Stover, MO 65078 Phone: 573-377-4295 Fax: 660-826-1300 |