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404 W Us Highway 54 Camdenton MO 65020-6943 | |
(573) 765-5131 | |
(573) 765-3122 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 404 W Us Highway 54, Camdenton, Missouri |
Authorized Official Name and Position | Robert Stiles (CEO) |
Authorized Official Contact | 5737655131 |
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 | 404 W Us Highway 54 Camdenton MO 65020-6943 Ph: (573) 765-5131 |
NPI Number | 1942750690 |
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Provider Enumeration Date | 10/06/2016 |
Last Update Date | 10/06/2016 |
Identifier | Type | State | Issuer |
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1942750690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |