| |
106 Commerce Dr Aurora MO 65605-6260 | |
(417) 269-2400 | |
(417) 269-2410 |
Full Name | |
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Speciality | Clinic/Center |
Location | 106 Commerce Dr, Aurora, Missouri |
Authorized Official Name and Position | Jeffrey Hawkins (VP OF OPERATIONS) |
Authorized Official Contact | 4172696263 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | 106 Commerce Dr Aurora MO 65605-6260 Ph: (417) 269-2400 |
NPI Number | 1982064267 |
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Provider Enumeration Date | 03/01/2016 |
Last Update Date | 09/30/2024 |
Medicare PECOS PAC ID | 0345236667 |
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Medicare Enrollment ID | O20160427002194 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982064267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Missouri) | 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 | |