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1317 S State Highway 32 El Dorado Springs MO 64744-2302 | |
(417) 876-3333 | |
(417) 876-4509 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1317 S State Highway 32, El Dorado Springs, Missouri |
Authorized Official Name and Position | Terry W Nichols (CEO) |
Authorized Official Contact | 4178762511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1401 S Park St El Dorado Springs MO 64744-2037 Ph: (417) 876-2511 | 1317 S State Highway 32 El Dorado Springs MO 64744-2302 Ph: (417) 876-3333 |
NPI Number | 1881608685 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 03/06/2023 |
Medicare PECOS PAC ID | 7315841129 |
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Medicare Enrollment ID | O20100615000060 |
Identifier | Type | State | Issuer |
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1881608685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
I Am Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 S Allison Rd, Suite A, El Dorado Springs, MO 64744 Phone: 417-876-4771 Fax: 417-876-4775 | |