| |
106 Commerce Dr Aurora MO 65605-6260 | |
(417) 269-2400 | |
(417) 269-2410 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 106 Commerce Dr, Aurora, Missouri |
Authorized Official Name and Position | Max Buetow (SR. VICE-PRESIDENT & CFO) |
Authorized Official Contact | 4176310381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3800 S National Ave Ste. 540 Springfield MO 65807-5209 Ph: (417) 269-5712 | 106 Commerce Dr Aurora MO 65605-6260 Ph: (417) 269-2400 |
NPI Number | 1144256462 |
---|---|
Provider Enumeration Date | 06/26/2006 |
Last Update Date | 03/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144256462 | NPI | - | NPPES |
505690800 | Medicaid | MO | |
189999 | Other | BLUE CROSS | |
596053405 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Medical Partners Of Aurora, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Washington Ave, Suite A, Aurora, MO 65605 Phone: 417-678-4022 Fax: 417-678-4028 | |