| Central Family And Sports Medicine | |
|
407 E Russell Ave Bldg C Warrensburg MO 64093-1242 | |
| (660) 747-5114 | |
| (660) 747-5684 |
| Full Name | Central Family And Sports Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 407 E Russell Ave Bldg C, Warrensburg, Missouri |
| Authorized Official Name and Position | Michael Dean Ohmart (CFO) |
| Authorized Official Contact | 6602627307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Family And Sports Medicine 407 E Russell Ave Bldg C Warrensburg MO 64093-1242 Ph: (660) 747-5114 | Central Family And Sports Medicine 407 E Russell Ave Bldg C Warrensburg MO 64093-1242 Ph: (660) 747-5114 |
| NPI Number | 1285088666 |
|---|---|
| Provider Enumeration Date | 04/21/2016 |
| Last Update Date | 11/01/2021 |
| Medicare PECOS PAC ID | 6709171606 |
|---|---|
| Medicare Enrollment ID | O20160816002750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285088666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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