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101 W Patterson St Mount Vernon MO 65712-1054 | |
(417) 466-7700 | |
Not Available |
Full Name | |
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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 |
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101 W Patterson St Mount Vernon MO 65712-1054 Ph: () - | 101 W Patterson St Mount Vernon MO 65712-1054 Ph: (417) 466-7700 |
NPI Number | 1770578569 |
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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 |
Oncare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 918 Sunshine Dr, Mount Vernon, MO 65712 Phone: 417-553-9583 Fax: 417-553-9585 | |