| Ccmh Family Health Clinic | |
|
600 W Morrison St Suite 5 Fayette MO 65248-1075 | |
| (660) 248-2900 | |
| (660) 248-1544 |
| Full Name | Ccmh Family Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 600 W Morrison St, Fayette, Missouri |
| Authorized Official Name and Position | Danielle Gearhart (ADMIN CEO) |
| Authorized Official Contact | 6608827461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccmh Family Health Clinic 17651 B Hwy Boonville MO 65233-2839 Ph: (660) 882-7461 | Ccmh Family Health Clinic 600 W Morrison St Suite 5 Fayette MO 65248-1075 Ph: (660) 248-2900 |
| NPI Number | 1871626234 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871626234 | NPI | - | NPPES |
| 590328506 | Medicaid | MO | |
| 26-3483 | Other | MO | MEDICARE ID/OSCAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fitzgibbon Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 W Morrison St, Suite 5, Fayette, MO 65248 Phone: 660-248-2900 Fax: 660-248-1544 | |
University Physicians Specialty Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Church St, Fayette, MO 65248 Phone: 660-248-2217 | |
University Physicans Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Church St, Fayette, MO 65248 Phone: 660-248-2217 Fax: 660-248-3450 |