Chariton Valley Family Medicine | |
413 W 2nd St Salisbury MO 65281-1405 | |
(660) 388-7084 | |
(660) 388-7087 |
Full Name | Chariton Valley Family Medicine |
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Speciality | Clinic/Center |
Location | 413 W 2nd St, Salisbury, Missouri |
Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
Authorized Official Contact | 6292153953 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chariton Valley Family Medicine Po Box 9645 Belfast MD 04915-9022 Ph: (660) 388-7084 | Chariton Valley Family Medicine 413 W 2nd St Salisbury MO 65281-1405 Ph: (660) 388-7084 |
NPI Number | 1851713580 |
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Provider Enumeration Date | 01/15/2014 |
Last Update Date | 04/16/2021 |
Medicare PECOS PAC ID | 9436052230 |
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Medicare Enrollment ID | O20140507000001 |
Identifier | Type | State | Issuer |
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1851713580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 506-6 (Missouri) | Primary |
Family Dental Center At Salisbury Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 S Broadway, Salisbury, MO 65281 Phone: 660-388-6950 Fax: 660-388-6935 | |
Family Health Center At Salisbury Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 S Broadway, Salisbury, MO 65281 Phone: 660-388-6446 Fax: 660-388-6870 |