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855 Arduser Dr Osceola MO 64776-6278 | |
(417) 646-5075 | |
(417) 646-8515 |
Full Name | |
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Speciality | Clinic/Center |
Location | 855 Arduser Dr, Osceola, Missouri |
Authorized Official Name and Position | Donald J Babb (CEO) |
Authorized Official Contact | 4173266000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1500 N Oakland Ave Bolivar MO 65613-3011 Ph: (417) 326-6000 | 855 Arduser Dr Osceola MO 64776-6278 Ph: (417) 646-5075 |
NPI Number | 1578961454 |
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Provider Enumeration Date | 12/09/2014 |
Last Update Date | 12/09/2014 |
Medicare PECOS PAC ID | 4183528169 |
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Medicare Enrollment ID | O20150108000185 |
Identifier | Type | State | Issuer |
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1578961454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |