| Infinity Health | |
|
2600 Miller St Bethany MO 64424-2701 | |
| (414) 462-3836 | |
| Not Available |
| Full Name | Infinity Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2600 Miller St, Bethany, Missouri |
| Authorized Official Name and Position | Samantha Cannon (CEO) |
| Authorized Official Contact | 6414462383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Health 302 Ne 14th St Leon IA 50144-1206 Ph: (641) 446-2383 | Infinity Health 2600 Miller St Bethany MO 64424-2701 Ph: (414) 462-3836 |
| NPI Number | 1699334805 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 02/11/2022 |
| Medicare PECOS PAC ID | 5597717496 |
|---|---|
| Medicare Enrollment ID | O20190715002064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699334805 | NPI | - | NPPES |
| 507202208 | Medicaid | MO | |
| 0462887 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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