| Country Corner Family Medical Center | |
|
101 W Patterson St Mount Vernon MO 65712-1054 | |
| (417) 466-7700 | |
| Not Available |
| Full Name | Country Corner Family Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 101 W Patterson St, Mount Vernon, Missouri |
| Authorized Official Name and Position | Kendel L Klein (DIRECTOR) |
| Authorized Official Contact | 4174667700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Corner Family Medical Center 101 W Patterson St Mount Vernon MO 65712-1054 Ph: () - | Country Corner Family Medical Center 101 W Patterson St Mount Vernon MO 65712-1054 Ph: (417) 466-7700 |
| NPI Number | 1770578569 |
|---|---|
| Provider Enumeration Date | 09/16/2005 |
| Last Update Date | 11/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770578569 | NPI | - | NPPES |
| 598499606 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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