| |
101 Hospital Dr Osceola MO 64776-9547 | |
(844) 853-8937 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 101 Hospital Dr, Osceola, Missouri |
Authorized Official Name and Position | Teresa Porter (CREDENTIALING/CONTRACTING MANAGER) |
Authorized Official Contact | 6608908186 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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101 Hospital Dr Osceola MO 64776-9547 Ph: (417) 646-8158 | 101 Hospital Dr Osceola MO 64776-9547 Ph: (844) 853-8937 |
NPI Number | 1033530498 |
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Provider Enumeration Date | 01/02/2014 |
Last Update Date | 07/04/2023 |
Identifier | Type | State | Issuer |
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1033530498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |