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537 W Yoakum Ave Chaffee MO 63740-1825 | |
| (573) 887-3010 | |
| (573) 887-3004 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 537 W Yoakum Ave, Chaffee, Missouri |
| Authorized Official Name and Position | Thymios P Lambrou (OWNER) |
| Authorized Official Contact | 5738873010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
537 W Yoakum Ave Chaffee MO 63740-1825 Ph: (573) 887-3010 | 537 W Yoakum Ave Chaffee MO 63740-1825 Ph: (573) 887-3010 |
| NPI Number | 1811015902 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811015902 | NPI | - | NPPES |
| 594017600 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
Carter P Fenton Sr Clinics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 S Main St, Chaffee, MO 63740 Phone: 573-887-3688 Fax: 573-887-9022 |