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948 E Us Highway 54 Camdenton MO 65020-6834 | |
(573) 346-4446 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 948 E Us Highway 54, Camdenton, Missouri |
Authorized Official Name and Position | Robert F Steele (CFO) |
Authorized Official Contact | 5734807844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 777 Richland MO 65556-0777 Ph: (573) 765-5131 | 948 E Us Highway 54 Camdenton MO 65020-6834 Ph: (573) 346-4446 |
NPI Number | 1659795102 |
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Provider Enumeration Date | 02/04/2014 |
Last Update Date | 06/08/2015 |
Identifier | Type | State | Issuer |
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1659795102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |