Complete Healthcare Llc | |
509 South Byp Kennett MO 63857-3248 | |
(870) 243-4650 | |
Not Available |
Full Name | Complete Healthcare Llc |
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Speciality | Family Medicine |
Location | 509 South Byp, Kennett, Missouri |
Authorized Official Name and Position | Christopher Prather (COMPLIANCE) |
Authorized Official Contact | 5735592339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Complete Healthcare Llc Po Box 1246 Jonesboro AR 72403-1246 Ph: () - | Complete Healthcare Llc 509 South Byp Kennett MO 63857-3248 Ph: (870) 243-4650 |
NPI Number | 1447958962 |
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Provider Enumeration Date | 02/23/2023 |
Last Update Date | 03/14/2024 |
Medicare PECOS PAC ID | 4587029533 |
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Medicare Enrollment ID | O20230427000818 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447958962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Roger Hill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043215023 PECOS PAC ID: 7618874751 Enrollment ID: I20230427000863 |
Complete Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 South Byp, Kennett, MO 63857 Phone: 870-243-4650 | |
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