| Carter P Fenton Sr Clinics Inc | |
|
206 S Main St Chaffee MO 63740-1002 | |
| (573) 887-3688 | |
| (573) 887-9022 |
| Full Name | Carter P Fenton Sr Clinics Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 206 S Main St, Chaffee, Missouri |
| Authorized Official Name and Position | Carter P Fenton (PRESIDENT) |
| Authorized Official Contact | 5738873688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carter P Fenton Sr Clinics Inc Po Box 98 Chaffee MO 63740-0098 Ph: (573) 887-3688 | Carter P Fenton Sr Clinics Inc 206 S Main St Chaffee MO 63740-1002 Ph: (573) 887-3688 |
| NPI Number | 1750697322 |
|---|---|
| Provider Enumeration Date | 08/20/2010 |
| Last Update Date | 04/03/2019 |
| Medicare PECOS PAC ID | 4284826728 |
|---|---|
| Medicare Enrollment ID | O20101004000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750697322 | NPI | - | NPPES |
| 240965905 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31606 (Missouri) | Primary |
| Provider Name | Carter P Fenton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972726446 PECOS PAC ID: 6901098441 Enrollment ID: I20101004000040 |
Chaffee Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 W Yoakum Ave, Chaffee, MO 63740 Phone: 573-887-4171 | |
Chaffee Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 537 W Yoakum Ave, Chaffee, MO 63740 Phone: 573-887-3010 Fax: 573-887-3004 |