| Caruthersville Clinic | |
|
412 Ward Ave Caruthersville MO 63830-1451 | |
| (573) 333-0033 | |
| (573) 333-2522 |
| Full Name | Caruthersville Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 412 Ward Ave, Caruthersville, Missouri |
| Authorized Official Name and Position | Douglas S Fitzwater (MD OWNER) |
| Authorized Official Contact | 5733330033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caruthersville Clinic Po Box 817 Cape Girardeau MO 63702-0817 Ph: (573) 335-4715 | Caruthersville Clinic 412 Ward Ave Caruthersville MO 63830-1451 Ph: (573) 333-0033 |
| NPI Number | 1467442566 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467442566 | NPI | - | NPPES |
| 7158 | Other | MO | BCBS |
| 596113605 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Doctors Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 West 12th St, Caruthersville, MO 63830 Phone: 573-359-1782 Fax: 573-333-4665 | |
West Tennessee Medical Group Primary Care Caruthersville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 W 15th Street, Caruthersville, MO 63830 Phone: 731-512-1277 | |
Caruthersville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ward Ave, Caruthersville, MO 63830 Phone: 579-333-0033 Fax: 573-333-2522 | |
Wt Regional Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W 15th St, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522 | |
Caruthersville Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Caruthersville Medical Center, 109 East 5th Street, Caruthersville, MO 63830 Phone: 573-359-9803 Fax: 573-359-0990 | |
Grace Family Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Ward Ave, Caruthersville, MO 63830 Phone: 573-922-5111 Fax: 573-922-5126 |