| |
525 Branson Landing Blvd Ste 508 Branson MO 65616-2131 | |
(417) 335-7540 | |
(417) 335-7544 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 525 Branson Landing Blvd Ste 508, Branson, Missouri |
Authorized Official Name and Position | Daniel Roth (VP OF OPERATIONS) |
Authorized Official Contact | 4172693104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | 525 Branson Landing Blvd Ste 508 Branson MO 65616-2131 Ph: (417) 335-7540 |
NPI Number | 1114005451 |
---|---|
Provider Enumeration Date | 11/02/2006 |
Last Update Date | 09/30/2024 |
Medicare PECOS PAC ID | 5092624320 |
---|---|
Medicare Enrollment ID | O20080228000268 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114005451 | NPI | - | NPPES |
507954006 | Medicaid | MO | |
598594901 | Medicaid | MO |
Drs Family Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N 3rd St, Branson, MO 65616 Phone: 417-334-3655 Fax: 417-334-3614 | |